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合并股骨头与股骨颈骨折的治疗:一例报告

Management of a Combined Femoral Head and Neck Fracture: A Case Report.

作者信息

Snoap Tyler, Freyder Jeffrey, Roberts Jason

机构信息

Department of Orthopaedics, Homer Stryker M.D. School of Medicine, Western Michigan University, Kalamazoo, Michigan.

Bronson Orthopedic Trauma, Kalamazoo, Michigan.

出版信息

JBJS Case Connect. 2016 Oct-Dec;6(4):e88. doi: 10.2106/JBJS.CC.16.00066.

Abstract

CASE

A 19-year-old woman sustained a traumatic hip injury with dislocation and fractures of the femoral head and neck. A modified Gibson approach with trochanteric flip osteotomy was performed. We describe the management technique used to reduce and stabilize the femoral head and neck fractures during surgical hip dislocation. The stabilization of the femoral head to the femoral neck was performed primarily in a retrograde manner.

CONCLUSION

Retrograde fixation of combined femoral head and neck fractures can be safely performed during surgical hip dislocation with satisfactory results.

摘要

病例

一名19岁女性遭受创伤性髋关节损伤,伴有股骨头和颈部脱位及骨折。采用改良吉布森入路并进行转子翻转截骨术。我们描述了在髋关节手术脱位期间用于复位和稳定股骨头及颈部骨折的管理技术。股骨头与股骨颈的稳定主要以逆行方式进行。

结论

在髋关节手术脱位期间,可以安全地进行股骨头和颈部联合骨折的逆行固定,效果令人满意。

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