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目的探讨不同方法治疗儿童股骨颈骨折的临床疗效及并发症。方法 2010年3月-2013年3月接诊46例股骨颈骨折患儿,石膏外固定+牵引治疗(外固定组)治疗8例;闭合复位+经皮克氏针内固定术(闭合复位组)治疗16例,切开复位+克氏针内固定术(切开复位组)治疗22例,观察各组临床疗效和并发症。结果闭合复位组与切开复位组疗效和并发症比较,差异均有统计学意义(P<0.05)。结论儿童股骨颈骨折的治疗需根据骨折类型、移位程度及复位情况决定。无移位者可首选保守治疗,明显移位的需行手术治疗,闭合复位内固定术较切开复位内固定术创伤更小,疗效更好,且降低术后并发症低。
Objective To investigate the clinical effects and complications of different methods in the treatment of femoral neck fracture in children. METHODS: From March 2010 to March 2013, 46 children with femoral neck fracture were treated with plaster external fixation and traction (external fixation group) in 8 cases. Closed reduction and percutaneous Kirschner wire fixation (closed reduction group ) For the treatment of 16 cases, open reduction and Kirschner wire fixation (open reduction group) in the treatment of 22 cases, the clinical efficacy and complications were observed in each group. Results The curative effect and complications of closed reduction group and open reduction group were significantly different (P <0.05). Conclusion The treatment of femoral neck fracture in children depends on the type of fracture, the degree of displacement and the situation of reduction. No displacement may be the preferred conservative treatment, significant displacement of the need for surgical treatment, closed reduction and internal fixation less open reduction and internal fixation trauma, better effect, and reduce postoperative complications.