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[股骨颈骨折后股骨头缺血性坏死。使用放射性示踪剂进行早期诊断]

[Avascular necrosis of the femoral head following fracture of the neck. Early diagnosis using radioactive tracers].

作者信息

Héripret G, Cauchoix J, Deburge A

出版信息

Rev Chir Orthop Reparatrice Appar Mot. 1976 Oct-Nov;62(7):677-84.

PMID:137490
Abstract

The authors have injected Sr85 intravenously and studied its fixation in samples taken from the femoral head with a trephine in the course of reduction and fixation of fractures of the femoral neck. Thirty-eight cases were studied, of which ten developed secondary avascular necrosis of the femoral head. All the patients were followed up for more than three years. The standard technique is described in detail. The authors consider that this technique was valid. All the necroses were able to be predicted. The examination of the samples took about 15 minutes during the operation. The method makes it possible to choose between internal fixation and prosthetic replacement.

摘要

作者经静脉注射锶85,并在股骨颈骨折复位和固定过程中,用环钻从股骨头取材研究其固定情况。共研究了38例,其中10例发生了股骨头继发性缺血性坏死。所有患者均随访了三年以上。详细描述了标准技术。作者认为该技术是有效的。所有坏死情况均能够被预测。手术过程中对样本的检查耗时约15分钟。该方法使得在内固定和假体置换之间做出选择成为可能。

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