Szechinski J W, Grigorian M A, Grainger A J, Elliott J M, Wischer T K, Peterfy C G, Genant H K
Department of Radiology, Osteoporosis and Arthritis Research Group, University of California at San Francisco, USA.
Orthopedics. 2002 Dec;25(12):1365-8; discussion 1368. doi: 10.3928/0147-7447-20021201-14.
Serial hip radiographs from 280 patients with proximal femoral fractures were analyzed retrospectively by 3 radiologists to evaluate conventional radiographic healing patterns. Patients with hemiarthroplasty or insufficient follow-up were excluded. In the remaining 41 patients, the fracture line and callus was assessed. Intertrochanteric fractures demonstrated increasing callus and sclerosis at the fracture site. No such association was seen in femoral neck fractures. Traditional indicators of fracture healing cannot be readily applied at the hip. Radiographic features relate more to fracture type and fixation method.
3位放射科医生对280例股骨近端骨折患者的系列髋部X线片进行了回顾性分析，以评估传统X线片的愈合模式。排除接受半髋关节置换术或随访不足的患者。在其余41例患者中，评估了骨折线和骨痂情况。转子间骨折在骨折部位显示出骨痂增多和硬化。股骨颈骨折未见此类关联。传统的骨折愈合指标不能轻易应用于髋部。X线特征更多地与骨折类型和固定方法有关。
