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目的探讨经皮克氏针联合外固定架固定治疗青少年头下型股骨颈骨折的疗效。方法对11例青少年头下型股骨颈骨折经骨折手法或克氏针撬拨复位后采用经皮克氏针联合外固定架固定,术后第3~4周开始扶拐行部分负重功能锻炼。结果术后均获平均3.7(3~6)个月随访,术后2~4个月骨折均骨性愈合。无克氏针松脱、股骨头及骨骺坏死、骺板闭合等严重并发症发生。末次随访时疗效按髋关节功能Harris评分标准评定:优8例,良2例,可1例。结论采用经皮克氏针联合外固定架固定治疗青少年头下型股骨颈骨折术后骨折断端愈合坚固,对股骨头骨骺及骺板干扰少,术后髋关节功能及患肢发育良好,是一种实用而有效的方法。
Objective To investigate the efficacy of percutaneous Kirschner wire combined with external fixator in the treatment of adolescent femoral neck fractures. Methods Eleven cases of femoral neck fractures of the head and shoulders were fixed by percutaneous Kirschner wire combined with external fixator after fracture manipulation or Kirschner wire pry-off. Some weight-bearing functional exercises were performed on the crusades from the 3rd to 4th weeks after operation. Results All cases were followed up for an average of 3.7 (3-6 months) after operation. All fractures healed 2 to 4 months after operation. No Kirschner wire loose, femoral head and epiphyseal necrosis, epiphyseal plate closure and other serious complications. The final follow-up efficacy according to the hip function Harris score criteria: excellent in 8 cases, good in 2 cases, in 1 case. Conclusion The percutaneous Kirschner wire fixation with external fixator for the treatment of adolescent head fractures of the femoral neck fractures healed, the femoral head epiphyseal and epiphyseal plate less interference, postoperative hip function and limb well developed, is A practical and effective method.