Pauwels Ⅲ型股骨颈骨折延迟就诊行内翻截骨术。

Valgus osteotomy for delayed presentation of femoral neck fractures Pauwels Grade III.

机构信息

Department of Orthopaedic Surgery, Faculty of Medicine, Zagazig University, Egypt.

出版信息

J Orthop Trauma. 2010 Feb;24(2):115-9. doi: 10.1097/BOT.0b013e3181bdc2c3.

PMID:20101136

Abstract

Fracture displacement, a high Pauwels angle, and delayed presentation decrease the potential for healing of femoral neck fractures. In the young individual, head preservation is paramount. Valgus intertrochanteric osteotomy may increase the healing potential of femoral neck fractures in the presence of those detrimental factors. Ten patients younger than 60 years of age with delayed presentation of displaced Pauwels III femoral neck fractures were treated by osteosynthesis and valgus intertrochanteric osteotomy fixed by dynamic hip screws. All osteotomies and nine fractures united with one case developing avascular necrosis.

摘要

骨折移位、高 Pauwels 角和延迟就诊会降低股骨颈骨折愈合的潜力。在年轻患者中，保护股骨头至关重要。在存在这些不利因素的情况下，股骨颈骨折的内翻转子间截骨术可能会增加骨折愈合的潜力。我们对 10 名年龄小于 60 岁且延迟就诊的股骨颈骨折合并高 Pauwels III 型骨折的患者进行了骨固定和动力髋螺钉固定的内翻转子间截骨术。所有截骨术和 9 处骨折均愈合，1 例发生股骨头坏死。