Weckbach A, Braun W, Rüter A
Klinik für Unfall- und Wiederherstellungschirurgie, Zentralklinikum Augsburg.
Unfallchirurgie. 1989 Feb;15(1):39-47.
The fracture and dislocation of the head of the femur is still an uncommon accident, however, involving many complications. To avoid secondary damage a closed reduction should be obtained as soon as possible and with great care. Osteosynthesis of the femur head fragments is desireable for congruency of the joint surfaces and to prevent post traumatic arthrosis. Only this treatment allows for functional physical therapy. Type 3 fractures in patients over 65 and also multiple fractures of the femur head should be treated with a prosthesis implant. In young people primary reconstruction of the joint should be attempted in every case.
股骨头部骨折和脱位仍然是一种罕见的事故，然而，它会引发许多并发症。为避免二次损伤，应尽快且谨慎地进行闭合复位。为使关节面贴合及预防创伤后关节炎，对头骨碎片进行骨接合术是可取的。只有这种治疗方法才允许进行功能性物理治疗。65岁以上患者的3型骨折以及股骨头的多处骨折，应采用假体植入进行治疗。对于年轻人，在每种情况下都应尝试对关节进行初次重建。
