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新生儿股骨骨折20例分析
http://www.100md.com 《中华现代外科学杂志》 2006年第13期
新生儿;股骨骨折;治疗,,],新生儿;股骨骨折;治疗,1资料与方法,2结果,3讨论,4小结,[参考文献]
     [摘要] 目的 总结20例产伤所致的新生儿股骨骨折的治疗。方法 用回顾性分析方法对我科1992年1月~2003年12月收治的产伤所致的新生儿股骨骨折20例的临床资料进行分析。结果 20例患儿均得到随访,平均随访时间为3年6个月。骨折临床愈合时,平均成角畸形22.5°,短缩1.1 cm,所有残余畸形均在生长发育过程中得到纠正,患肢功能恢复满意,膝髋关节活动正常。结论 新生儿股骨骨折愈合快,自我矫形和塑形能力强,治疗应以简单易行、损伤小、痛苦小,减少并发症为原则的保守治疗为佳。

    [关键词] 新生儿;股骨骨折;治疗

    Analysis on femoral fracture of 20 newborns

    WU Mao-kui,XIONG Wen-hua,YANG Yun-hai,et al.Department of Orthopaedics,Shiyan Peoples Hospital,Shenzhen 518108,China

    [Abstract] Objective To analyze the treatment of 20 femoral fractures in the neonates.Methods Retrospective analysis is made on femoral fracture of 20 newborns delivered in our department from Jan 1992 to Dec 2003.Results All the patients were followed up for a mean period of 42 months.The average angular and shortening deformity were 22.5°and 1.1cm respectively at the time of clinical union.The remaining deformities were corrected and remodeled during the period of growth and development.The range of motion of the hip and knee joint were normal.Conclusion To femoral fracture of newborns,the femur of the neonate is great potential of plasticity and the union period is usually short.The treatment should be simple, and the use of repetitively closer or open reduction must be avoided. ......

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