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首页> 外文期刊>Injury >Complications of fracture of the neck of the femur in children. A long-term follow-up study.
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Complications of fracture of the neck of the femur in children. A long-term follow-up study.

机译:儿童股骨颈骨折的并发症。一项长期的随访研究。

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This is a long-term study of 53 children with fracture of the proximal femur. The age of these children at the time of injury ranged from 3 to 16 years (average, 10.2 years). The follow-up period averaged 9.4 years (range, 5-20 years). There was a single transepiphyseal fracture, 28 transcervical fractures, 21 basicervical fractures and three intertrochanteric fractures. The overall results were good in 49, fair in 25 and poor in 26% of patients. Better results were obtained in undisplaced fractures and in those displaced fractures where anatomical reduction was achieved and maintained throughout fracture healing.The rate of early and delayed complications was 60%, with some patients having more than one complication. Avascular necrosis occurred in 40%. It was found to be related to initial fracture displacement and was associated was an inferior outcome. Other complications included coxa vara in 36, non-union in 36, premature physeal closure in 38, shortening in 55, arthritic changes in 34, coxa valga in 9, coxa magna in 2, and post-operative infection in 23% of patients. The quality of reduction appeared to influence the occurrence of some complications such as avascular necrosis and non-union.
机译:这是对53例股骨近端骨折儿童的一项长期研究。这些儿童受伤时的年龄为3至16岁(平均10.2岁)。随访时间平均为9.4年(范围5-20年)。有一个单一的经胸骨骨折,28个经颈骨折,21个基本神经骨折和3个股骨转子间骨折。总体结果中有49%的患者良好,有25%的患者中等,而26%的患者的结果较差。在未移位的骨折以及在整个骨折愈合过程中实现解剖复位并保持解剖学复位的那些移位的骨折中,取得了更好的结果。早期和延迟并发症的发生率为60%,其中一些患者发生了一种以上的并发症。 40%发生无血管坏死。发现与最初的骨折移位有关,并且结果差。其他并发症包括36例Coxa vara,36例不愈合,38例早熟的骨closure关闭,55例缩短关节炎,34例关节炎,3例Coxa valga,2例magna以及23%的患者术后感染。减少的质量似乎影响一些并发症的发生,例如无血管坏死和不愈合。

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