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患儿女性,8岁,从高处坠落,左髋部先着地,左侧大转子部压痛及叩击痛均阳性;X线片示左侧股骨颈基底部骨折并有嵌插,颈干角变小为111°(对侧135°),右侧股骨头脱出髋臼窝,向外上后方移位。诊断为:左股骨颈基底部嵌插型骨折,右髋关节后脱位。立即行右髋关节闭合手法复位成功后,双下肢皮牵引,保持左下肢外展位,右下肢中立位。3d后拍X线片见股骨颈骨折对位好,颈干角恢复到131°;12周
Children with children, 8 years old, falling from a height, the first left hip in front of the ground, the left greater trochanter tenderness and percussion pain were positive; X-ray showed left femoral neck fracture with intercalation, Smaller to 111 ° (contralateral 135 °), the right femoral head prolapse of the acetabulum, outward shift on the rear. Diagnosed as: the left femoral neck insertion inserted fractures, posterior dislocation of the hip. Right hip right after the closure of the manual approach to reset success, the lower extremity skin traction, keeping the left lower extremity position, right lower limb neutral position. 3d X-ray film after the femoral neck fracture alignment, neck angle restored to 131 °; 12 weeks