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报告44例获得2年以上随访的小儿股骨颈骨折远期并发症。认为并发症的发生与骨折类型、暴力大小、治疗方法及受伤年龄相关。提出经牵引复位后在X线透视下经皮穿入3～4枚克氏钉固定,再用保持髋关节轻度外展内旋位的髋人字石膏外固定术较适于小儿股骨颈骨折的治疗。强调对并发症的预防措施在伤后即应实施,治疗后定期复查、延迟负重及合理的家庭护理对预防并发症有重要意义。
Long-term complications of pediatric femoral neck fractures were reported in 44 patients who were followed up for more than 2 years. The incidence of complications is believed to be related to the type of fracture, the size of the violence, the treatment and the age at injury. Put forward by the traction reduction in the X-ray percutaneous penetrating 3 to 4 Kirschner wire fixation, and then keep the hip abduction of the internal rotation of the hip gypsum external fixation is more suitable for children with femoral neck fracture Treatment. Emphasis on complications prevention measures should be implemented immediately after the injury, regular review after treatment, delayed load and reasonable home care to prevent complications is important.