尤瑞金;杨德育;黄飞;吕宏升;苏在权;

• 1:解放军第180医院骨科

摘要(Abstract)：

[目的]探讨120°儿童髋锁定加压钢板(120°Locking compression paediatric hip plate,120°LCP PHP)治疗儿童股骨转子下骨折的临床疗效。[方法]2010年10月~2014年5月采用120°LCP PHP治疗儿童股骨转子下骨折16例。[结果]本组患儿术后随访24~36个月,平均(27.3±3.2)个月。无1例发生神经血管损伤、骨折端再移位、再骨折、髋内翻、骨髓炎、股骨头坏死及骨骺发育异常。骨折骨性愈合时间为8~13周,平均(10.1±1.4)周,无骨不愈合。于术后18~32周取出内固定物,平均(25.3±3.4)周。早期Beaty评分及远期Theologis评分皆为满意,术后2年Sanders髋关节评分为57~60分,平均(58.7±2.1)分,都为优,优良率为100%。[结论]120°LCP PHP治疗儿童股骨转子下骨折,具有符合儿童股骨转子下解剖及生物力学特点、固定牢固、避免损伤骨骺、骨折愈合快、并发症少、适应证广、可早期功能锻炼等优点。但存在需要切开复位、损伤相对较大、出血较多、二次手术切开取出内固定物、费用较高、切口瘢痕影响美观等缺点。

关键词(KeyWords)： 儿童;股骨转子下骨折;120°儿童髋锁定加压钢板

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 尤瑞金;杨德育;黄飞;吕宏升;苏在权;

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参考文献(References)：

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