肱骨交锁髓内钉治疗青少年股骨干骨折对股骨近端发育的影响

发布时间：2018-04-25 00:33

本文选题：青少年 + 股骨干骨折　；参考：《中国矫形外科杂志》2016年22期

【摘要】：[目的]通过测量术后随访X线片的股骨近端几何结构参数,了解经大转子进钉应用肱骨交锁髓内钉治疗青少年股骨干骨折对股骨近端发育的影响。[方法]回顾性分析2011年11月~2014年2月本科25例10~15周岁经大转子进钉应用肱骨交锁髓内钉治疗青少年股骨干骨折的患者,所有病例随访至至少骨性愈合,以健侧为对照组,收集最近一次随访的术后X线片,应用PACS处理软件测量其股骨近端几何结构参数,包括股骨近端颈干角(CDA)、关节面转子间距离(ATD)、转子间距(TTD)、关节面小转子间距(ALD)、股骨头中心至小转子距离(CSD)、股骨颈最宽径(FND)以及股骨头最宽径(FHD)。[结果]所有患儿均获得随访,平均年龄12.24岁,平均随访时间为25.6个月。术后X线片显示2例患者术后出现大转子骨骺吸收现象,患侧的股骨近端几何参数与健侧相比差异均无统计学意义。[结论]经大转子进钉应用肱骨交锁髓内钉治疗青少年股骨干骨折疗效满意,可以避免对股骨近端发育的影响。
[Abstract]:[objective] to investigate the effect of interlocking intramedullary nail on the development of proximal femur in adolescent patients with interlocking intramedullary nail through great trochanter by measuring the geometric parameters of proximal femur in follow-up X-ray. [methods] from November 2011 to February 2014, 25 cases of juvenile femoral shaft fractures treated with interlocking intramedullary nail of humerus (10 ~ 15 years old) were retrospectively analyzed. All the cases were followed up to at least bone union, and the healthy side was used as the control group. The most recent follow-up X-ray films were collected and the proximal femoral geometric parameters were measured by PACS software. These include CDA, ATD, TTD, ALD, CSD, FNDD, FHD, FND, and FHD, respectively, in the proximal femoral neck, the distance between the trochanter and the articular surface, the distance between the trochanter and the femoral head, the distance from the center of the femoral head to the trochanter, the width of the femoral neck (FNDD), and the maximum diameter of the femoral head (FHD). [results] all the children were followed up with an average age of 12.24 years and an average follow-up time of 25.6 months. X-ray films showed that the epiphysis of the trochanter was absorbed in 2 patients after operation. There was no significant difference in the geometric parameters of the proximal femur between the affected side and the normal side. [conclusion] the treatment of juvenile femoral shaft fracture with interlocking intramedullary nail via great trochanter is satisfactory and can avoid the influence on proximal development of femur.
【作者单位】：厦门大学附属福州第二医院儿童骨科;
【分类号】：R726.8

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