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目的探讨克氏针张力带钢丝内固定治疗儿童髂前上棘骨折的疗效。方法对19例儿童髂前上棘骨折采用切开复位、克氏针张力带钢丝内固定治疗。结果术后随访12～28个月,骨折均获骨性愈合。髂前上棘外形恢复正常,患髋关节功能正常,缝匠肌肌力V级。患儿可参加同龄儿童同等强度的体育活动,无骨折移位,无内固定松动、断裂及股外侧皮神经损伤等并发症。结论克氏针张力带钢丝内固定治疗儿童髂前上棘骨折,固定牢固,并发症少,术后可早期行关节功能锻炼,是一种理想的内固定方法。
Objective To investigate the curative effect of Kirschner wire internal fixation with tension wire in the treatment of children anterior superior iliac spine fractures. Methods Nineteen children with anterior superior iliac spine fractures were treated with open reduction and Kirschner wire tension band wire fixation. Results The patients were followed up for 12 to 28 months. All the fractures were healed. Anterior superior iliac spine appearance back to normal, suffering from normal hip function, sartorius muscle strength V-class. Children can participate in the same age children with the same intensity of physical activity, no fracture displacement, no loose internal fixation, fracture and lateral femoral cutaneous nerve injury and other complications. Conclusion Kirschner wire internal fixation with tension wire for the treatment of children with anterior superior iliac spine fractures, solid fixation, fewer complications, postoperative early joint functional exercise, is an ideal method of internal fixation.