Fixation with Kirschner wires plus pediatric hip plate for femoral neck fracture combined with avulsion fracture of the greater trochanter in children
10.3760/cma.j.issn.1671-7600.2018.09.014
- VernacularTitle:儿童髋部钢板结合克氏针治疗儿童股骨颈伴大转子撕脱性骨折
- Author:
Rufa WANG
1
;
Yue LOU
;
Kai TANG
;
Gaopeng LIU
;
Mingchao CHEN
;
Gang LIN
Author Information
1. 210019,南京医科大学附属儿童医院骨科
- Keywords:
Femoral neck fracture;
Fracture fixation,internal;
Child
- From:
Chinese Journal of Orthopaedic Trauma
2018;20(9):810-812
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility and clinical effectiveness of fixation with Kirschner wires plus pediatric hip plate (PHP) for femoral neck fracture combined with avulsion fracture of the greater trochanter in children.Methods Between February 2014 and February 2016,6 children were treated by fixation with Kirschner wires plus PHP for femoral neck fracture combined with avulsion fracture of the greater trochanter at Department of Pediatric Orthopaedics,Children's Hospital,Nanjing Medical University.They were 4 boys and 2 girls,aged from 3.5 to 11.1 years (mean,7.2 years).By the Delbet's classification,all the fractures were of type Ⅲ.Clinical efficacy was evaluated according to the Ratliff scoring system at the last follow-ups.Results The intraoperative bleeding ranged from 20 to 50 mL (average,30 mL);the operation time ranged from 45 to 60 min (average,55 min).All the patients were followed up for 12 to 36 months (average,26 months).Bony union was obtained in all cases after an average time of 7 weeks (from 5 to 8 weeks).The Ratliff scores at the last follow-ups showed 5 good and one acceptable cases.No neurovascular lesion or incision infection was observed in the children.Anatomical reduction of the greater trochanter fracture was not achieved in one child but led to no adverse effect.Conclusion Fixation with Kirschner wires plus PHP can successfully treat femoral neck fracture combined with avulsion fracture of the greater trochanter in children.
