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Surgical treatment of congenital cyst of common bile duct
Sub-4 ...: Separation of the femoral head epiphysis: neck fractures; femoral neck fracture and intertrochanteric Q base fracture. The group of 13 fell down, respectively 0,7,4,2. x ray film showed significant shift 3 down, 4 patients with mild shift, no shift in 6 cases,[link widoczny dla zalogowanych], and another health varus 6 down. Second, the treatment of treatment: the hip by skin traction + cast immobilization 2 down the word, open reduction and internal fixation with multiple Kirschner wire in 3 cases, television x line closed reduction + multiple small-diameter Kirschner wire or lag screw Fixed 8 down. Treatment: The patients were followed up 13 down, 5 to 11 years when the cyberspace, with an average of 7.5 years. 8 inverted fracture healing, hemorrhagic necrosis of the femoral head basking in 5 cases, health varus 4 down. Femoral neck shortening 6 down, 3 down with mild claudication and severe back broken line 2, less than 2an3 cases of limb shortening, greater than 3an2 cases. Third, the discussion of the units {516001 Huizhou, Guangdong Province People Hospital orthopedic center 1. Anatomical characteristics of children's femoral neck than the femoral neck fracture in children, rare in adults, even preschool children can be seen. This is because the femoral neck in the anatomically different from adult, from newborn to 3 years old, head, neck, greater trochanter was a piece of cartilage of the femoral head in the extended human acetabulum,[link widoczny dla zalogowanych], femoral neck and head boundaries unclear. Direct spread of violence from the health mortar weakened the greater trochanter. Moreover, cartilage earthquake here, stress dispersion. Apart from a grant of serious violence, or difficult to fracture. After the rapid growth of school-age children in the femoral neck, cartilage is relatively narrow, the earthquake, distributed stress, weakened the femoral neck protection, and increase the incidence of femoral neck fracture. Round ligament and because children the importance of blood supply to the femoral head is very small, once displaced femoral neck fractures. Easy to damage the blood supply leaving outside the epiphyseal artery obstruction was followed by damage to the femoral head epiphysis growth, slow down or stop, or avascular necrosis. 2 fracture types and the relationship between treatment and effect of the treatment of femoral neck fractures in recent years most scholars tend to reset correctly and firmly fixed,[link widoczny dla zalogowanych], in particular the internal fixation, I agree with this view. Traction of the group were treated in 2 cases, 1 and avascular necrosis of the fall: open reduction and internal fixation in 3 cases, 2 avascular necrosis of femoral head down; TV x line closed reduction and Kirschner wire or + multiple small-caliber Canada 8 down pressure screws. Taiwan, and 2 cases of avascular necrosis. Avascular necrosis of the group rate of 385%, 5 down avascular necrosis were seen in class by the neck fracture. 3. Of 5 patients with the treatment of avascular necrosis of ischemic necrosis of review in this group are fixed with 2 back is not strong due to the early 1 received the word healthy skin traction + cast immobilization, due to failure to discharge children with doctor's orders. Cast and early weight-bearing self-demolition gland, causing the greater trochanter on the move, coxa vara, avascular occurred within 2 years 8 Surgery. 1996,17:207-208 (Received :1998-0907 Revised :1999-0115) (This article Editor: Yu Wenbing) 1 case of necrosis of the other old fractures in children array x line in a television station closed reduction and use of two root Kirschner wire fixation, although not of Journal of anatomical position, but the reduction is still satisfied, because discharge not given plaster immobilization. And premature infants after discharge activities of the Kirschner wire loosening,[link widoczny dla zalogowanych], extrusion, fixed is not strong. Erzhi avascular necrosis. Femoral neck fractures in children and then a fall no significant shift. X line in the TV hit two 5rmna compression screw. Surgery went well and return to normal after 8 months after the removal of screw fracture Italian units, but 4 months after the patients suffering from hip pain complaints, the x-ray film examination showed early femoral head ischemic necrosis of the top outside. Finally, children were 2 cases of repeated manual reduction failed. After the switch to open reduction and Kirschner wire fixation, of which 1 case proved to be incarcerated in the fracture joint capsule of the question, in this case occurred 8 months postoperatively and avascular braid; death, and 1 cases of the normal healing, but after 50 months appeared in avascular necrosis. The author from the group therapy experience, Gua children and early treatment of femoral neck fracture should be buildings, television x line closed reduction and Kirschner wire for the + multiple choice, older children can choose the compression screw diameter 5mm, for age small children can not cope with the treatment, patients should be supplemented by the word of hip fracture of cast immobilization to poultry units, or prone to cause treatment failure. Unless other treatments fail, otherwise by the neck fracture should not be easily open reduction and internal fixation.
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