Abstract:
METHODS: An 18-year-old autistic boy with seizure disorder had a 4-month-old hip injury with a similar right hip injury 6 months earlier. X-rays revealed an ununited fracture neck femur on the left and a malunited fracture neck femur on the right hip. Magnetic resonance imaging indicated preserved head vascularity. Valgus osteotomy and double-angle plate fixation of both hips were performed at an interval of 2 months.
CONCLUSIONS: Delayed presentation bilateral neck fractures are rare. X-rays showed healed fractures with no avascular necrosis in both hips at 2-year 6-month follow-up. Valgus osteotomy is ideal and relevant for osteosynthesis in selected ununited femur neck fractures.
摘要:
方法:一名18岁患有癫痫发作的自闭症男孩有4个月大的髋部损伤,6个月前有类似的右髋部损伤。X射线显示左侧颈部股骨骨折不完整,右侧髋部颈部股骨骨折不完整。磁共振成像显示头部血管保留。间隔2个月进行两髋外翻截骨及双角钢板固定术。
结论:双侧颈骨折的延迟表现很少见。X线检查显示,在2年6个月的随访中,两髋骨折均已愈合,无血管坏死。外翻截骨术是理想的,并且与选定的未合并股骨颈骨折的骨连接有关。