电邮这篇文章 Results of treatment of children with femoral neck fractures
- 作者: Bortulev P.I.1, Baskov V.E.1, Barsukov D.B.1, Pozdnikin I.Y.1, Ovsyankin A.V.2, Drozdetsky A.P.2, Bortuleva O.V.1, Baskaeva T.V.1, Kostomarova E.A.1
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隶属关系:
- The Turner Scientific Research Institute for Children’s Orthopedics
- Federal Center of Traumatology, Orthopedics and Endoprosthetics Replacement
- 期: 卷 6, 编号 2 (2018)
- 页面: 63-72
- 栏目: Exchange of experience
- URL: https://journals.rcsi.science/turner/article/view/8991
- DOI: https://doi.org/10.17816/PTORS6263-72
- ID: 8991
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Introduction. Femoral fractures in children remain a topical problem because of the risk and frequency of severe complications, such as aseptic necrosis of the femoral head that causes deforming coxarthrosis and early disabilities. This type of injury accounts for approximately 1% of all skeletal bone fractures in childhood. In 80% of the cases, the cause of femoral neck fracture is severe trauma, but in 15% of patients, the fracture occurs despite inadequate trauma during physiologically normal activity of the child. With femoral neck fractures without stable osteosynthesis, consolidation of bone fragments occurs extremely rarely, and a long period of immobilization during conservative treatment is accompanied by a risk of complications caused by hypodynamia.
Aim. To conduct a retrospective analysis of the results of surgical treatment of different types of fracture of the femoral neck in children.
Materials and methods. We analyzed surgical treatment results of 5 children aged 10 to 17 years (4 boys, 1 girl) with different types of femoral neck fractures according to the Delbet and Colonna classification. The cause of the fractures in all 5 children was high-energy trauma. All patients, depending on the type of fracture, underwent a closed repositioning with osteosynthesis of the fragments using metal constructions (cannulated screws, DHS plate). Follow-up observations were performed ≤7 years after the surgical treatment.
Results. Restoration of the hip joint function, absence of pain syndrome, absence of complications, and complete social adaptation was achieved in all cases.
Conclusion. Femoral neck fractures are subject to immediate surgical treatment because there is a high risk of aseptic necrosis of the head of the femur. With the correct technical performance, it is possible to achieve stable, positive, functional, and radiologic long-term results.
作者简介
Pavel Bortulev
The Turner Scientific Research Institute for Children’s Orthopedics
编辑信件的主要联系方式.
Email: pavel.bortulev@yandex.ru
MD, Research Associate of the Department of Hip Pathology
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Vladimir Baskov
The Turner Scientific Research Institute for Children’s Orthopedics
Email: dr.baskov@mail.ru
MD, PhD, Head of the Department of Hip Pathology
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Dmitry Barsukov
The Turner Scientific Research Institute for Children’s Orthopedics
Email: dbbarsukov@gmail.com
MD, PhD, Senior Research Associate of the Department of Hip Pathology
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Ivan Pozdnikin
The Turner Scientific Research Institute for Children’s Orthopedics
Email: pozdnikin@gmail.com
MD, PhD, Research Associate of the Department of Hip Pathology
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Anatoliy Ovsyankin
Federal Center of Traumatology, Orthopedics and Endoprosthetics Replacement
Email: anatoly.ovsjankin@orthosmolensk.ru
MD, PhD, Head Doctor
俄罗斯联邦, 29, Builders prospect, Smolensk, 214031Alexey Drozdetsky
Federal Center of Traumatology, Orthopedics and Endoprosthetics Replacement
Email: anatoly.ovsjankin@orthosmolensk.ru
MD, PhD, Chief of the Department of Pediatric Traumatology and Orthopedics
俄罗斯联邦, 29, Builders prospect, Smolensk, 214031Oksana Bortuleva
The Turner Scientific Research Institute for Children’s Orthopedics
Email: tamila-baskaeva@mail.ru
MD, PhD Student of the Department of Hip Pathology
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Tamila Baskaeva
The Turner Scientific Research Institute for Children’s Orthopedics
Email: tamila-baskaeva@mail.ru
MD, orthopedic surgeon
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Ekaterina Kostomarova
The Turner Scientific Research Institute for Children’s Orthopedics
Email: tamila-baskaeva@mail.ru
Clinical Resident
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603参考
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