Tejasvini Hospital and Shantharam Shetty Institute of Orthopaedics and Traumatology Mangalore, Kadri, Karnataka 575002, India.
Tejasvini Hospital and Shantharam Shetty Institute of Orthopaedics and Traumatology Mangalore, Kadri, Karnataka 575002, India.
Injury. 2020 Nov;51(11):2628-2633. doi: 10.1016/j.injury.2020.07.050. Epub 2020 Jul 25.
Vertical Pauwels Type III fractures of the neck of femur in young patients are difficult fractures to treat. These are usually as a result of high energy trauma which are associated with a significant degree of fracture comminution in the neck of femur. This makes the fracture reduction and fixation difficult. Many fixation methods and implants have been described for use in these fractures but are not without reported complications such as non-union and varus collapse. In this article, we highlight the incidence of fracture comminution in both the anterior and posterior cortices of the femoral neck, better visualised with axial computed tomography scanning and describe a simple technique utilizing lag screws and a DHS implant to adequately address these fractures.
年轻患者股骨颈的垂直型 Pauwels Ⅲ型骨折是难以治疗的骨折。这些骨折通常是由高能创伤引起的，与股骨颈的严重骨折粉碎有关。这使得骨折复位和固定变得困难。许多固定方法和植入物已被描述用于这些骨折，但并非没有报告的并发症，如不愈合和内翻塌陷。在本文中，我们强调了在股骨颈前、后皮质中骨折粉碎的发生率，轴向 CT 扫描可更好地显示，并描述了一种利用拉力螺钉和 DHS 植入物的简单技术，以充分解决这些骨折。
