| 摘要: |
| 目的探讨儿童股骨远端骺板骨折的治疗、并发症及预后。方法回顾性分析儿童股骨远端骺板骨折42例，按照Salter-Harris分型：I型11例，II型20例，III型7例，IV型4例。采用手法复位石膏固定（17例）、闭合复位或切开复位内固定（25例）进行治疗，术后按照HSS膝关节评分标准对膝关节功能进行疗效评定。结果42例患儿均获得随访。术后疗效评定，优31例，良5例，可1例，差5例，优良率85.7%。结论对于有移位的Salter-HarrisⅢ~IV型骺板骨折、闭合复位失败的其他类型的骺板骨折以及伴有其他损伤，应行切开复位克氏针或空心钉内固定治疗，可以达到满意的疗效。 |
| 关键词: 儿童 股骨远端 骺板骨折 并发症 治疗 |
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| Management of distal femoral epiphyseal plate fractures in children |
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LI Haibing, YE Wensong, XU Lujie, LI Li, ZHU Weiwei
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the Children Hospital of Zhejiang University School of Medicine
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| Abstract: |
| Objective To analyze the results of the management of distal femoral epiphyseal plate fractures in children. Methods The clinical data of 42 children with fractures of the distal femoral epiphysis were reviewed. According to the Salter-Harris classification system, types I, II, III and IV were 11, 20, 7 and 4 cases, respectively. Among 42 cases, 17 were treated with closed reduction and immobilization with plaster cast, other 25 were treated with open or closed reduction and internal fixation. The outcomes were evaluated according to the HSS knee function score. Results All patients were available at the final follow-up. According to the HSS knee function score, the knee joint function was excellent in 31, good in 5, better in 1 and poor in 6 with an excellent and good rate of 85.7%. Conclusion Open reduction and internal fixation with Kirschenel wires or hollow lag screw should be recommended for Salter-Harris type III and type IV factures with marked displacement or other types with the failure of closed reduction. |
| Key words: Children Distal femoral Growth plate fracture Complications Management |
