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[儿童股骨远端Salter-HarrisⅡ型骨骺损伤的手术治疗]

[Surgical treatment for Salter-Harris type II distal femoral epiphysis injury].

作者信息

Wójcik K, Wojciechowski P, Kusz D

机构信息

Katedry i Kliniki Ortopedii Slaskiej Akademii Medycznej w Sosnowcu.

出版信息

Chir Narzadow Ruchu Ortop Pol. 1998;63(2):143-9.

PMID:9684498
Abstract

Results of surgical treatment for Salter-Harris type II distal femoral epiphysis injury in 4 boys aged 10-16 are presented. In 3 cases the epiphysis was fixed with two screws introduced above the growth plate. Kirschner wires inserted through epiphysis were used in one case. Healing occurred in all cases. Shortening of the femur due to the injury to the distal growth plate was observed in 2 patients. In these cases surgery was preceded by two attempts to reduce displacement conservatively. MRI and CT studies are useful in diagnostics for epiphyseal injuries and their consequences.

摘要

本文介绍了4例年龄在10至16岁的男孩的股骨远端骨骺Salter-Harris II型损伤的手术治疗结果。3例患者通过在生长板上方置入两枚螺钉固定骨骺。1例患者使用了穿过骨骺插入的克氏针。所有病例均愈合。2例患者观察到因远端生长板损伤导致股骨缩短。在这些病例中,手术前曾两次尝试保守复位移位。MRI和CT检查对骨骺损伤及其后果的诊断很有用。

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