FEMORAL-NECK FRACTURE SECONDARY TO INSITU PINNING OF SLIPPED CAPITAL FEMORAL EPIPHYSIS - A PREVIOUSLY UNREPORTED COMPLICATION

被引：15

作者：

BAYNHAM, GC ^{[1
]}

LUCIE, RS ^{[1
]}

CUMMINGS, RJ ^{[1
]}

机构：

[1] UNIV HOSP JACKSONVILLE,JACKSONVILLE,FL 32209

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1991年 / 11卷 / 02期

关键词：

AVASCULAR NECROSIS; COXA VARA; FEMORAL NECK FRACTURE; SLIPPED CAPITAL FEMORAL EPIPHYSIS;

D O I：

10.1097/01241398-199103000-00009

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：

Two patients developed femoral neck fractures as a complication of in situ pinning for slipped capital femoral epiphysis (SCFE) by surgeons who each used a cannulated screw system. Both patients exhibited recurrent hip pain, femoral neck fracture, and coxa vara after asymptomatic postoperative intervals of 2 and 6 months, respectively. The fracture in one patient healed with weight relief alone; the other persisted, requiring a vascularized pedicle bone graft. Bone biopsy at surgery disclosed avascular necrosis (AVN). Based on preliminary studies of heat production during reaming, we spectulate that these fractures developed through areas of AVN secondary to thermal injury.

引用

页码：187 / 190

页数：4

共 9 条

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