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Overgrowth of the Femur after Fracture in Children

兒童股骨骨折後股骨生長過度的情形

摘要


我們分析50位骰骨骨折年齡自一天到12歲大的小孩所有小孩均追踪超過二年,平均37.6個月,其中36位接受石膏保守治療,14位接受手術治療。在保守治療的病人中,骰骨平均生長過度大約9.6mm,而平均兩測下肢長短差別在手術病人(10.1mm)比保守治療病人(3.4mm)在統計學上來得有意義的大。根據我們對保守治療的病人分析有關影響兒童股骨骨折生長過度的因素,得知股骨骨折後生長過度與病人年齡,性別,骨折是否是慣用側,骨折的發生部位及種類的均無統計學上的相關性。最主要的發現則是股骨骨折端重疊的多寡與股骨生長過度有統計學上相關的意義。

關鍵字

無資料

並列摘要


We reviewed and rediographed 50 children between one day and 12 years of age who had sustained femoral fractures. These fractures had follow-up treatment from 24 to 64 months with an average follow-up 37.6 months. Thirty-six patients accepted conservative treatment and fourteen patients accepted open reduction and internal fixation. The average overgrowth in patients who received conservative care was 9.6 millimeters. the average leg length discrepancy in operative cases (10.1mm) was significantly greater than in conservative care cases (3.4mm). We found that age, sex side, location andtype of fracture did not significantly affect overgrowth. The major finding was that the amount of overriding of the fracture ends showed significant difference with the overgrowth of the femur.

並列關鍵字

overgrowth femoral fracture children

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