Chrestian P, Bollini G, Jacquemier M, Ramaherison P
Chir Pediatr. 1981;22(6):397-403.
The authors study 14 femoral neck fractures in children after a four and half years follow up. They point out the scarcity of these fractures in children. They describe their therapeutic methods and results. They corroborate the bad prognosis of this injury (femoral neck necrosis or further growth trouble) and emphasise the importance of a long term follow up to appreciate precisely the sequellar growth trouble. They discuss the responsibility of the femoral neck's vascularisation pattern in the origin of the sequella. They ask two questions : -- Is it useful to treat these fractures in emergency? -- Is the surgical dogma still valid?
作者对14例儿童股骨颈骨折进行了四年半的随访研究。他们指出儿童此类骨折较为罕见。他们描述了治疗方法及结果。他们证实了这种损伤预后不良(股骨颈坏死或进一步生长问题),并强调长期随访对于准确评估后遗症生长问题的重要性。他们讨论了股骨颈血管化模式在后遗症发生中的作用。他们提出了两个问题:——急诊治疗这些骨折是否有用?——手术原则是否仍然有效?