Stacey Stephen C, Renninger Christopher H, Hak David, Mauffrey Cyril
Department of Orthopaedic Surgery, Denver Health Medical Center, 777 Bannock St., Denver, CO, 80204, USA.
Department of Orthopaedic Surgery, Naval Medical Center San Diego, San Diego, CA, USA.
Eur J Orthop Surg Traumatol. 2016 May;26(4):355-63. doi: 10.1007/s00590-016-1745-3. Epub 2016 Mar 10.
Femoral neck fractures in the young adult are a less common, but potentially functionally significant injury commonly occurring after high-energy trauma. The management goals of these injuries are the maintenance of a native hip joint absent avascular necrosis and nonunion. The primary determinant to this end is an anatomic reduction in displaced fractures with stable fixation. In this paper, the authors provide a set of technical tips and tricks to aid orthopedic surgeons in the surgical management of these injuries while reviewing the most recent literature available to inform clinical decision making. The paper includes the recommendations of the authors from the Denver Health Orthopaedic Trauma Service.
年轻成人的股骨颈骨折较为少见，但在高能创伤后常见，且可能对功能有重大影响。这些损伤的治疗目标是维持天然髋关节，避免缺血性坏死和骨不连。实现这一目标的主要决定因素是对移位骨折进行解剖复位并牢固固定。在本文中，作者提供了一系列技术要点和技巧，以帮助骨科医生对这些损伤进行手术治疗，同时回顾了最新的文献以指导临床决策。本文包括丹佛健康骨科创伤服务部门作者的建议。
