Duhaime M, Lascombes P
Chir Pediatr. 1984;25(3):152-60.
Fractures of the hip in children have always had a reserved prognostic resulting from their numerous complications. A retrospective study of hip fractures treated at Sainte-Justine Hospital Montreal, has permitted a better understanding of these fractures in regard with appropriate therapeutic measures. 28 fractures of the femoral neck were retained for this study. Fractures were classified along the Delbet classification, treatment was generally surgical in displaced fractures, and results were based on the Ratliff evaluation. Of the 3 traumatic epiphyseal injuries, 2 showed slight displacement in young children and the result is good, while the third case showed avascular necrosis. Only 53% of the 17 transcervical fractures have a good result. Of the 13 displaced fractures, 6 showed signs of avascular necrosis. In these cases, the prognosis is unpredictable and unrelated with the age of the patients. 7 of the 8 basicervical fractures have a good result (88%). A better comprehension of these fractures and of the vascularisation gives better knowledge of the significant difference of prognosis in type II and type III fractures.
儿童髋部骨折由于其众多并发症，预后一直不佳。对蒙特利尔圣贾斯汀医院治疗的髋部骨折进行的一项回顾性研究，有助于更好地了解这些骨折以及相应的治疗措施。本研究纳入了28例股骨颈骨折。骨折按照德尔贝分类法进行分类，移位骨折一般采用手术治疗，结果依据拉特利夫评估。在3例创伤性骨骺损伤中，2例在幼儿中显示轻微移位，结果良好，而第三例出现了缺血性坏死。17例经颈骨折中只有53%结果良好。在13例移位骨折中，6例出现了缺血性坏死迹象。在这些病例中，预后不可预测，且与患者年龄无关。8例基底颈骨折中有7例结果良好（88%）。对这些骨折及其血管化的更好理解，有助于更好地了解II型和III型骨折预后的显著差异。
