Sturm P F, Alman B A, Christie B L
Department of Orthopaedics, New England Medical Center, Boston, Massachusetts.
J Pediatr Orthop. 1993 Mar-Apr;13(2):246-8.
The charts of 77 severely handicapped institutionalized children and young adults were retrospectively reviewed to assess the incidence of femur fractures. No fractures occurred in ambulatory patients. Four of 37 nonambulatory patients who did not have hip surgery (10.9%) had sustained a fracture at some time during their life. Six of 21 (29%) nonambulatory patients who were operated on for subluxed or dislocated hips sustained a femur fracture within 3 months after discontinuation of their spica casts. This risk factor should be taken into account when one considers operation in severely affected nonambulant spastic quadriplegic patients.
对77名重度残疾的住院儿童和青少年的病历进行了回顾性研究，以评估股骨骨折的发生率。能走动的患者未发生骨折。37名未接受髋关节手术的非能走动患者中有4名（10.9%）在其一生中曾发生过骨折。21名因髋关节半脱位或脱位而接受手术的非能走动患者中有6名（29%）在石膏拆除后3个月内发生了股骨骨折。在考虑对重度受影响的非能走动痉挛性四肢瘫痪患者进行手术时，应考虑到这一风险因素。
