髋部开放性骨折的发生率很低,主要并发症有股骨头缺血性坏死、髋内翻、骺板早期闭合及继发性移位,这些并发症决定着病人的预后情况。股骨头缺血性坏死伴骨质生长障碍,是最严重的并发症,也是影响儿童髋部骨折预后的一个因素。自1980至1998年间,对20例股骨头及其近端骨折进行回顾性研究。男女比例为3:2,平均年龄10.8岁(3～16岁),随访时间至少2年,平均3.6年。骨折程度按Delbet分型,依据Ratliff法进行效果评分,同时采用分型和评分结合的方式对股骨头缺血性坏死进行分级并估计 The incidence of open hip fracture is very low. The main complication is avascular necrosis of the femoral head, volar varus, early closure of the epiphyseal plate and secondary displacement. These complications determine the patient’s prognosis. Avascular necrosis of femoral head with bone growth disorders, is the most serious complication, but also affect the prognosis of children with hip fracture a factor. From 1980 to 1998, 20 femoral heads and their proximal fractures were retrospectively studied. The ratio of males to females was 3: 2 with an average age of 10.8 years (range 3-16 years). The follow-up period was at least 2 years, an average of 3.6 years. The degree of fracture was classified according to Delbet score according to the Ratliff method, and the avascular necrosis of the femoral head was graded and estimated by the method of typing and score