Pförringer W, Rosemeyer B
Arch Orthop Unfallchir. 1977 Jun 30;88(3):281-308. doi: 10.1007/BF00416618.
The problems of femoral neck fractures in young children are discussed. Results of 12 own cases are reviewed with an average age of the patients of 7.5 years at the time of accident. The average time between accident and last examination was 12 years. The operative technique, pre- and postoperative care, indications for conservative treatment and late complications are discussed. All types of fractures should be treated operatively. K-wire fixation is sufficient in most cases and does not damage the epiphyseal plate. Immobilization in POP spika is advisable for 6 weeks. With delayed operative treatment of intracapsulare fractures the intraarticular haematoma should be aspirated. Traumatic epiphyseolysis should be reduced by manipulation or operatively and stabilized by K-wires. The treatment of pseudarthrosis is by internal fixation and bone grafting. Late valgus and especially varus deformations should be corrected by intertrochanteric osteotomy.
本文讨论了幼儿股骨颈骨折的问题。回顾了12例自身病例的结果，患者在事故发生时的平均年龄为7.5岁。事故与最后一次检查之间的平均时间为12年。讨论了手术技术、术前和术后护理、保守治疗的适应症以及晚期并发症。所有类型的骨折均应进行手术治疗。在大多数情况下，克氏针固定就足够了，并且不会损伤骨骺板。建议使用髋人字石膏固定6周。对于囊内骨折的延迟手术治疗，应抽吸关节内血肿。创伤性骨骺溶解应通过手法复位或手术复位，并用克氏针固定。假关节的治疗方法是内固定和植骨。晚期外翻，尤其是内翻畸形，应通过转子间截骨术进行矫正。
