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目的探讨锁定加压钢板固定治疗儿童股骨近段骨折的临床疗效。方法采用锁定加压钢板治疗儿童股骨近段骨折。结果所有患儿均获得随访,随访时间为18～39个月,平均29个月。二组患儿骨折均获得骨折愈合,时间为3.2～7.6个月,平均3.9个月。依据Harris评分标准(包括疼痛、功能、关节畸形和关节活动度4方面)评定髋关节功能,优23例,良5例,优良率100%。结论对于年龄较大、患儿体重指数大、不稳定型骨折儿童股骨近段骨折应用锁定加压钢板治疗符合近年来儿童骨折微创治疗观念,是现有内固定技术的有益补充。
Objective To investigate the clinical effect of locking compression plate fixation for the treatment of proximal femoral fractures in children. Methods Locking compression plate for the treatment of proximal femoral fractures in children. Results All patients were followed up for 18-39 months with an average of 29 months. Two groups of fractures were fractured healed, the time was 3.2 to 7.6 months, an average of 3.9 months. Hip joint function was evaluated according to the Harris score (including 4 aspects of pain, function, joint deformity and joint activity), excellent in 23 cases and good in 5 cases, the excellent and good rate was 100%. Conclusion The treatment of proximal compression of proximal femur fractures in children with large body mass index and unstable fractures is in line with the concept of minimally invasive treatment of children fractures in recent years, which is a useful supplement to the current internal fixation techniques.