Schneider L, Sartori G, Siclari A
U.S.S.L. n. 47, Ospedale degli Infermi, Biella (Vercelli).
Minerva Med. 1990 Mar;81(3 Suppl):77-80.
After briefly illustrating indications and biomechanical concepts of biarticular endoprostheses of the hip in the treatment of medial fractures of the femoral neck, a personal series from December 1985 to March 1988 is presented. 55 of 82 operated patients were followed up on the basis of purely clinical criteria, particular attention being paid to general preoperative conditions, the recovery of function and the rate of postoperative mortality. In conclusion, it is recalled that prognosis in fractures of the femoral neck is severe for generally gerontological reasons and the usefulness of biarticular endoprosthesis in the prevention of cotyloid wear and tear is underlined.
在简要阐述髋关节双关节置换术治疗股骨颈内侧骨折的适应症及生物力学概念后,本文展示了1985年12月至1988年3月的个人病例系列。82例手术患者中的55例基于纯粹的临床标准进行了随访,特别关注术前一般状况、功能恢复及术后死亡率。最后,回顾指出,由于一般老年学原因,股骨颈骨折预后严峻,并强调了双关节置换术在预防髋臼磨损方面的作用。