CAJ | 학술논문

目的：总结应用微创肱骨近端锁定钢板内固定与非手术治疗儿童股骨粗隆下骨折的结果和并发症。方法2005年2月至2011年2月，我院采用肱骨近端锁定钢板和非手术治疗儿童股骨粗隆下骨折共24例患者，回顾性比较15例采用肱骨近端锁定钢板和9例采用非手术治疗的患者，从住院时间、完全负重时间和影像愈合时间以及结果评分和术后并发症等方面对两种治疗方法进行比较分析。结果24例患者均获得随访，平均随访时间31.5个月，两组患者住院时间、完全负重时间和影像学愈合时间比较，差异有统计学意义（ P<0.05）。肱骨近端锁定钢板组结果评分更高（ P<0.05）。和非手术组相比，肱骨近端锁定钢板组总并发症发生率较低（ P<0.05）。结论对于儿童股骨粗隆下骨折，肱骨近端锁定钢板内固定系统与非手术组相比评分更高，总并发症率更低，是治疗儿童股骨粗隆下骨折的良好内固定之一。
목적：총결응용미창굉골근단쇄정강판내고정여비수술치료인동고골조륭하골절적결과화병발증。방법2005년2월지2011년2월，아원채용굉골근단쇄정강판화비수술치료인동고골조륭하골절공24례환자，회고성비교15례채용굉골근단쇄정강판화9례채용비수술치료적환자，종주원시간、완전부중시간화영상유합시간이급결과평분화술후병발증등방면대량충치료방법진행비교분석。결과24례환자균획득수방，평균수방시간31.5개월，량조환자주원시간、완전부중시간화영상학유합시간비교，차이유통계학의의（ P<0.05）。굉골근단쇄정강판조결과평분경고（ P<0.05）。화비수술조상비，굉골근단쇄정강판조총병발증발생솔교저（ P<0.05）。결론대우인동고골조륭하골절，굉골근단쇄정강판내고정계통여비수술조상비평분경고，총병발증솔경저，시치료인동고골조륭하골절적량호내고정지일。
Objective To summarize the outcome and complications of minimally invasive proximal humerus internal loc-king system( PHILOS)and the nonoperative treatment for pediatric subtrochanteric femur fractures. Methods A total of 24 children with subtrochanteric femur fractures treated with proximal humerus internal locking system and nonoperative treatment between Febrary 2005 and Febrary 2011 were identified. We retrospectively compared 15 children treated with minimally inva-sive proximal humerus internal locking system to 9 children treated nonoperatively. Comparative analysis was performed from the length of hospitalization,time to radiographic union,time to full weightbearing,outcome scores and postoperative complica-tions. Results All 24 patients were followed up for a mean time of 31. 5 months after surgery. The difference in the length of hospitalization,time to radiographic union and time to full weightbearing was significant for the 2 groups(P<0. 05). Outcome scores were significantly better in the proximal humerus internal locking system group(P<0. 05)and the overall complication rate was lower compared with nonoperative group(P<0. 05). Conclusion Our results indicate that minimally invasive proxi-mal humerus internal locking system of pediatric subtrochanteric femur fractures is associated with better outcome scores and a lower overall complication rate when compared with nonoperative group. Minimally invasive proximal humerus internal locking system had became one of the ideal treatment of pediatric subtrochanteric femur fractures.