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非典型股骨骨折的外科治疗：克服股骨弯曲

Surgical Treatment of the Atypical Femoral Fracture: Overcoming Femoral Bowing.

作者信息

Lee Kyung-Jae, Min Byung-Woo

机构信息

Department of Orthopaedic Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea.

出版信息

Hip Pelvis. 2018 Dec;30(4):202-209. doi: 10.5371/hp.2018.30.4.202. Epub 2018 Dec 6.

DOI:10.5371/hp.2018.30.4.202
PMID:30534538
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6284073/
Abstract

Atypical femoral fractures differ from ordinary femoral diaphyseal or subtrochanteric fractures in several aspects. Although several authors have reported the results of surgical treatment for atypical femoral fractures, the rate of complications (e.g., delayed union, nonunion, fixation failure, and reoperation) is still high. Therefore, we reviewed principles of surgical treatment and describe useful methods for overcoming femoral bowing in these high-risk patients.

摘要

非典型股骨骨折在几个方面不同于普通的股骨干或转子下骨折。尽管有几位作者报道了非典型股骨骨折的手术治疗结果，但并发症（如延迟愈合、不愈合、内固定失败和再次手术）的发生率仍然很高。因此，我们回顾了手术治疗原则，并描述了在这些高危患者中克服股骨弯曲的有用方法。

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2
Atypical fractures: An issue of concern or a myth?非典型骨折：是一个值得关注的问题还是一个误解？
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3
T-Score Discordance of Bone Mineral Density in Patients with Atypical Femoral Fracture.非典型股骨骨折患者骨密度的T值不一致性
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World J Orthop. 2023 May 18;14(5):302-311. doi: 10.5312/wjo.v14.i5.302.
4
Incomplete Atypical Femoral Fracture With Severe Bowing Treated by Intramedullary Nail and Corrective Osteotomy.采用髓内钉及截骨矫形术治疗伴有严重成角的不完全性非典型股骨骨折
Cureus. 2023 Apr 26;15(4):e38175. doi: 10.7759/cureus.38175. eCollection 2023 Apr.
5
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Medicina (Kaunas). 2023 Apr 9;59(4):735. doi: 10.3390/medicina59040735.
6
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J Orthop Case Rep. 2022 Oct;12(10):78-82. doi: 10.13107/jocr.2022.v12.i10.3376.
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Int Orthop. 2021 Dec;45(12):3223-3232. doi: 10.1007/s00264-021-05212-0. Epub 2021 Sep 15.
J Bone Joint Surg Am. 2017 Oct 4;99(19):1683-1688. doi: 10.2106/JBJS.16.01440.
4
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