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慢性肾衰竭伴低钙惊厥继发双侧股骨颈骨折手术治疗后发生双侧粗隆间骨折:1例报告并文献复习

Bilateral intertrochanteric fractures after surgical treatment of bilateral femoral neck fractures secondary to hypocalcemic convulsions with chronic renal failure: a case report and review of the literature.

作者信息

Suh Kuen Tak, Kang Dong Joon, Lee Jung Sub

机构信息

Department of Orthopaedic Surgery, Pusan National University Hospital, Seo-Gu, Pusan, Republic of Korea.

出版信息

Arch Orthop Trauma Surg. 2006 Mar;126(2):123-6. doi: 10.1007/s00402-005-0083-4. Epub 2005 Dec 15.

Abstract

There have been no reports of bilateral femoral neck fractures followed by bilateral femoral intertrochanteric fractures. A 28-year-old man presenting with bilateral femoral neck fractures due to generalized convulsions was diagnosed with chronic renal failure and treated with percutaneous screw osteosynthesis and hemodialysis. During rehabilitation, the patient again had convulsions resulting in bilateral femoral intertrochanteric fractures 2 months after the operation. He was treated with a compression hip screw on the right side and conservatively on the left side. This is the first well-documented report on bilateral femoral neck fractures followed by bilateral femoral intertrochanteric fractures.

摘要

此前尚无双侧股骨颈骨折后又发生双侧股骨转子间骨折的报道。一名28岁男性因全身性惊厥出现双侧股骨颈骨折,被诊断为慢性肾衰竭,接受了经皮螺钉内固定术和血液透析治疗。在康复过程中,患者术后2个月再次发生惊厥,导致双侧股骨转子间骨折。他接受了右侧加压髋螺钉治疗,左侧采取保守治疗。这是第一例有充分记录的双侧股骨颈骨折后又发生双侧股骨转子间骨折的报道。

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