Otremski I, Katz A, Dekel S, Salama R, Newman R J
Ichilov Hospital, Tel-Aviv, Israel.
Injury. 1990 Nov;21(6):379-81. doi: 10.1016/0020-1383(90)90124-d.
A study of 123 patients with impacted, subcapital femoral fractures was undertaken to determine the natural history of this injury. It was found that the angle of the fracture, the degree of valgus and the degree of retroversion were without significant effect on the incidence of subsequent disimpaction. Age was important, with a 20 per cent incidence of disimpaction in patients over the age of 68 years. In patients younger than this the incidence was only 2 per cent. These results indicate that conservative treatment may be appropriate for some younger patients, but the advantages of this approach must be compared with the medical, social and economic benefits of early mobilization that the relatively simple operative procedure permits.
对123例股骨颈嵌插骨折患者进行了一项研究，以确定该损伤的自然病程。结果发现，骨折角度、外翻程度和后倾程度对随后骨折复位的发生率没有显著影响。年龄很重要，68岁以上患者骨折复位的发生率为20%。在年龄小于68岁的患者中，发生率仅为2%。这些结果表明，保守治疗可能适用于一些较年轻的患者，但这种方法的优点必须与相对简单的手术操作所允许的早期活动带来的医疗、社会和经济效益相比较。
