Font-Vizcarra Lluís, Carreño Ana María, Prat Salvi, Muñoz-Mahamud Ernesto, Camacho Pilar, Casanova Luis
Orthopaedic Trauma Section; Orthopaedic Surgery and Traumatology Department, Hospital Clinic, Barcelona, Spain.
Hip Int. 2010 Oct-Dec;20(4):565-7. doi: 10.1177/112070001002000426.
A 68-year-old woman presented following a road accident with an undisplaced intertrochanteric fracture affecting an ankylosed hip and an ipsilateral calcaneal fracture. The interthrocanteric fracture was fixed with four 7.0 mm cannulated screws. The calcaneal fracture was fixed with K wires and immobilized in a plaster. Because of this combination of injuries, although she was allowed to mobilize non weight bearing from the first week, sitting and progressive weight bearing were not permitted for six weeks. Radiographs taken at the one year showed consolidation of the hip fracture without complications. Final functional indices showed an EQ-5D VAS score of 40, EQ-5D health state index adapted to Spanish value sets of 0.493 and an Oxford Hip Score of 31. Screw fixation of an undisplaced intertrochanteric fracture in an ankylosed hip may be sufficient in some instances provided the patient remains non weight bearing for long enough.
一名68岁女性在道路交通事故后就诊，患有未移位的转子间骨折，累及强直髋和同侧跟骨骨折。转子间骨折用4枚7.0毫米空心螺钉固定。跟骨骨折用克氏针固定并石膏固定。由于这种损伤组合，尽管从第一周起就允许她非负重活动，但六周内不允许坐立和逐渐负重。一年时拍摄的X线片显示髋部骨折愈合且无并发症。最终功能指标显示EQ-5D视觉模拟评分40分，根据西班牙值集调整后的EQ-5D健康状态指数为0.493，牛津髋关节评分为31分。在某些情况下，如果患者足够长时间保持非负重状态，对于强直髋的未移位转子间骨折，螺钉固定可能就足够了。
