|
|
Clinical effect comparison of open and close reset delay in treatment of femoral neck fracture in children |
DU Xi-feng1 XIE Liang-fu1 CHEN Qiu2 LUO Tao2 |
1.Second Department of Orthopaedics,Shenzhen Children′s Hospital,Guangdong Province,Shenzhen 518000,China;2.Department of Orthopaedics,Public Health Clinical Center,Fudan University,Shanghai 201508,China |
|
|
Abstract Objective To explore the effect of open and closed reduction delayed treatment in children with femoral neck fracture.Methods From August 2007 to August 2017,68 children with femoral neck fracture in our hospital were selected as observation objects,they were divided into two groups according to different treatment method,38 cases in closed group,and 30 cases in open group.Open group was treated with open reduction delayed treatment,closed group was treated with closed reduction delay.All patients were followed up for half a year.The curative effect,hip function score,fracture healing time and incidence of complications were compared between open group and closed group.Results The excellent and good rate of open group(81.58%)was higher than that of closed group(50.00%)(P<0.05).Fracture healing time of two groups there was no significant difference(P>0.05),but the score of hip joint function in the open group of(87.65±3.20)score was significantly higher than that in the closed group of(78.32±4.25)score half a year after treatment,and the difference was statistically significant.The incidence of complications in the open group(5.26%)was lower than that in the closed group,(26.67%),with a statistical difference(P<0.05).Conclusion The effect of open reduction delay therapy in children with femoral neck fracture is better than that in closed reduction delay treatment.It is more helpful to improve hip function and has fewer complications in children with femoral neck fracture.
|
|
|
|
|
[1] |
周颖,王波,楼跃,等.三种内固定方式治疗儿童移位型股骨颈骨折的临床分析[J].中华创伤杂志,2017,33(11):1016-1021.
|
[2] |
丁舒晨,虞荣斌,葛云林,等.Gotfried阳性支撑复位结合空心螺钉内固定治疗中青年股骨颈骨折的近期疗效[J].中华创伤骨科杂志,2016,18(8):655-661.
|
[3] |
Panigrahi R,Sahu B,Mahapatra AK,et al.Treatment analysis of paediatric femoral neck fractures:a prospective multicenter theraupetic study in Indian scenario[J].Int Orthop,2015,39(6):1121-1127.
|
[4] |
江君,任爽,何涛贞,等.闭合复位经皮克氏针内固定治疗儿童股骨颈骨折[J].实用骨科杂志,2015,21(2):121-125.
|
[5] |
Yang Z,Liu H,Xie X,et al.Total hip arthroplasty for failed internal fixation after femoral neck fracture versus that for acute displaced femoral neck fracture:a comparative study[J].J Arthroplasty,2015,30(8):1378-1383.
|
[6] |
王波,楼跃,唐凯,等.空心螺钉与小儿髋部锁定加压接骨板治疗儿童移位型股骨颈骨折的疗效比较[J].中华创伤骨科杂志,2016,18(8):662-667.
|
[7] |
江君,任爽,何涛贞,等.闭合复位经皮克氏针内固定治疗儿童股骨颈骨折[J].实用骨科杂志,2015,21(2):121-125.
|
[8] |
陈广辉,王洪伟,吴琼,等.儿童股骨颈骨折疗效及股骨头坏死相关因素分析[J].实用骨科杂志,2017,23(5):404-408.
|
[9] |
郑朋飞,徐鹏,陈杰,等.个体化数字导航模板引导儿童髋部锁定加压接骨板置入的应用[J].中华小儿外科杂志,2016,37(10):779-784.
|
[10] |
张志强,刘柱,李浩,等.开放与闭合复位延迟治疗儿童股骨颈骨折的比较[J].中国矫形外科杂志,2017,25(24):2228-2232.
|
[11] |
李梁,梁学振,滕加文,等.股骨内侧钢板联合空心钉内固定治疗中青年不稳定型股骨颈骨折效果观察[J].山东医药,2017,57(34):80-82.
|
[12] |
于沂阳,常恒瑞,郑占乐,等.顺势互动复位技术治疗难复性股骨颈骨折[J].中华创伤杂志,2017,33(7):596-601.
|
[13] |
严卫锋,曾忠友,裴斐,等.髋关节直接前方入路切开复位空心加压螺钉内固定治疗难复位性股骨颈骨折[J].中医正骨,2017,29(9):45-47.
|
[14] |
张立朋,张国玲,徐葳,等.三维手段定量评估股骨颈骨折复位质量与股骨头坏死的相关性[J].中国组织工程研究,2016,20(22):3287-3293.
|
[15] |
郑朋飞,鞠黎,陈杰,等.延迟复位的儿童移位型股骨颈骨折的治疗[J].中华创伤骨科杂志,2016,18(5):375-380.
|
|
|
|