股骨外侧骨折中的髋关节假体：当前概念与手术技术
The hip prosthesis in lateral femur fracture: current concepts and surgical technique.
作者信息
Giannotti Stefano, Bottai Vanna, Dell'Osso Giacomo, De Paola Gaia, Bugelli Giulia, Guido Giulio
机构信息
Second Orthopaedic and Traumatologic Clinic, University of Pisa, Pisa, Italy.
出版信息
Clin Cases Miner Bone Metab. 2014 Sep;11(3):196-200.
Abstract
The third proximal femur fractures are divided into medial and lateral ones. For medial fractures already exists unanimity of thought for the choice of treatment that involves the prosthetic replacement of the hip joint in patients over 60 without indications to the synthesis. Regarding the lateral femur fractures this unanimity does not exist yet even if the majority of surgeons practice treatment with osteosynthesis. We want to highlight if there are any types of lateral fractures associated with patient's clinical condition in which it might be more useful to a prosthetic replacement with the aim of being able to allow a total load and earlier deambulation, reducing complications related to a possible patient immobilization.
摘要
股骨近端的第三种骨折分为内侧和外侧骨折。对于内侧骨折，在60岁以上且无手术指征的患者中，对于采用髋关节假体置换的治疗选择已达成共识。对于外侧股骨骨折，即使大多数外科医生采用骨固定术进行治疗，但尚未达成这样的共识。我们想要强调的是，是否存在与患者临床状况相关的任何类型的外侧骨折，对于这些骨折，假体置换可能更有用，目的是能够承受全部负荷并更早行走，减少与患者可能的固定相关的并发症。
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