Femoral fracture in the neonates
- VernacularTitle:新生儿股骨骨折
- Author:
Pei ZENG
;
Xiangqi DAI
;
- Publication Type:Journal Article
- Keywords:
Femoral fractures;
Infant,newborn;
Treatment outcome
- From:
Chinese Journal of Orthopaedics
2001;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the diagnosis and treatme nt of 47femoral fractures in the neonates.Methods The history records of neonatal femo ral fractures during the period from1971to 1998were reviewed.They included of 24boys and 23girls.Thirty-nine fractur es of the femur occurred in Cesarean section and 18during vaginal delive ry.All were unstable fractures,30o blique and 17transverse.All of them were treated conservatively.Results Twenty-nine of the 47cases were foll owed up with the mean period of58months(12to 168months).The average angular and shortening deformity was 39.25?(15?to 80?)and0.69cm(0.5to 1.5cm)respectively.Twenty-five cases we re without leg length discrepancy,4cases had their affected side 1cm longer than t he unaffected side.At final follow u p,ll of the patients could walk with normal gait,and the range of motion o f the hip and knee joint were normal.N o delayed union was found.Conclusion The deformity of the femoral fractur e in neonate is usually severe and dif ficult to get anatomical reduction with closed methods,the f emur of the neonate is of great potent ial of plasticity,and the union period is usually short.The treatment shou ld be simple,and the use of repetitiv ely close or open reduction must be avoided.The popular accepted crite ria of children shortening within 1-2cm,angulations within 25?and torsion within 15?should be enlarged in neonates.
