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目的观察肱骨近端锁定板治疗儿童股骨粗隆下骨折的效果。方法回顾性分析自2008-01—2013-01应用肱骨近端锁定板内固定治疗儿童股骨粗隆下骨折15例,按Seinsheimer分型,Ⅰ型2例,Ⅱ型10例,Ⅲ型2例,Ⅳ型1例。结果所有患者获5~24个月的随访,骨折于术后2~3个月获临床愈合,术后5~10个月骨性愈合后行内固定取出,术后3例出现过度生长,增长0.4~1.2 cm(平均0.8 cm)。未出现髋内翻,钢板断裂、关节僵硬,肢体短缩等并发症。末次随访时髋关节功能按Sanders标准:优13例,良1例,可1例。结论采用肱骨近端锁定板内固定治疗儿童股骨粗隆下骨折是一种操作简单、固定牢固、愈合率高和并发症少的治疗方法。
Objective To observe the effect of proximal humeral locking plate in the treatment of subtrochanteric fractures in children. Methods Retrospective analysis of 15 cases of children with subtrochanteric fractures of proximal femur fixation from 2008-01-2013-01, according to Seinsheimer classification, type Ⅰ in 2 cases, type Ⅱ in 10 cases, type Ⅲ in 2 cases, Type 1 in 1 case. Results All patients were followed up for 5 to 24 months. The fractures were clinically cured 2 to 3 months after operation. After 5 to 10 months after operation, the bony union was removed and fixed by internal fixation. In 3 cases, the over-growth occurred after 0.4 ~ 1.2 cm (average 0.8 cm). No complications such as hip varus, plate fracture, joint stiffness, limb shortening and so on. The final follow-up of hip function by Sanders standard: excellent in 13 cases, good in 1 case, 1 case. Conclusion The treatment of proximal femoral intertrochanteric fractures with proximal humeral locking plate fixation is a simple, stable, high rate of healing and less complications.