Vetti N, Lindtjørn B, Engesaeter L B
Ortopedisk avdeling Haukeland Sykehus, Bergen.
Tidsskr Nor Laegeforen. 1998 Sep 20;118(22):3415-8.
406 fractures of the femur in persons younger than 17 years of age were treated at Haukeland University Hospital, Bergen, from January 1980 to December 1993. The incidence was 35/100,000 per year; 57/100,000 for boys, and 24/100,000 for girls. No significant changes in the incidence occurred during the study period. 70% of the fractures occurred in boys. 78% had an isolated fracture, while 7% had other fractures, 7% head injuries and 8% injuries of multiple organs as well. Traffic accidents accounted for 35% of the fractures. 65% of the femur fractures were treated by skeletal traction (mean hospitalisation 30 days), 21% were operated on initially (hospitalisation 12 days), and 14% were given early spica cast (hospitalisation three days). The results of the treatment were generally satisfactory. Neither anisomelia (8.5% more than 10 mm) nor malrotation (12% more than 10 degrees) of the femur was a serious problem, but the length of time the patients were hospitalized was rather long.
1980年1月至1993年12月期间，卑尔根市豪克兰大学医院共治疗了406例17岁以下儿童的股骨骨折。年发病率为35/10万；男孩为57/10万，女孩为24/10万。在研究期间，发病率没有显著变化。70%的骨折发生在男孩身上。78%为单纯骨折，7%合并其他骨折，7%合并头部损伤，8%合并多器官损伤。交通事故导致的骨折占35%。65%的股骨骨折采用骨骼牵引治疗（平均住院30天），21%最初接受手术治疗（住院12天），14%早期采用髋人字石膏固定（住院3天）。治疗结果总体令人满意。股骨不等长（超过10毫米者占8.5%）和股骨旋转不良（超过10度者占12%）均不是严重问题，但患者住院时间较长。
