TRANSEPIPHYSEAL FRACTURES OF THE NECK OF THE FEMUR IN VERY YOUNG-CHILDREN

被引：20

作者：

FORLIN, E ^{[1
]}

GUILLE, JT ^{[1
]}

KUMAR, SJ ^{[1
]}

RHEE, KJ ^{[1
]}

机构：

[1] ALFRED I DUPONT INST,EDITORIAL SERV,POB 269,WILMINGTON,DE 19899

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1992年 / 12卷 / 02期

关键词：

CHILDREN; COXA VARA; FEMORAL NECK FRACTURE; TRANSEPIPHYSEAL FRACTURE;

D O I：

10.1097/01241398-199203000-00004

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Five severely displaced transepiphyseal fractures of the neck of the femur in five very young children were treated nonoperatively with a spica cast. Four of these fractures healed in varus, but two with an open proximal femoral physis corrected with growth. One fracture had an 18-month delay in diagnosis and treatment, but subsequently healed after a valgus osteotomy of the proximal femur and bone grafting. There was no case of avascular necrosis. We recommend initial nonoperative treatment with hip spica cast immobilization for this type of fracture in the very young child. If correction of residual coxa vara or limb length discrepancy is indicated, it may be done later.

引用

页码：164 / 168

页数：5

共 13 条

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