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用于股骨颈骨折固定的戴耶勒装置。对连续125例病例的回顾。

The Deyerle device for fixation of femoral neck fractures. A review of one hundred twenty-five consecutive cases.

作者信息

Swiontkowski M F, Hansen S T

出版信息

Clin Orthop Relat Res. 1986 May(206):248-52.

PMID:3708984
Abstract

One hundred twenty-five consecutive femoral neck fractures were treated with Deyerle fixation in the ten-year period from 1970 to 1980. The 123 patients in the series of 125 fractures had a mean age of 62.2 years. Sixty-nine percent of the fractures were displaced. Fewer than nine pins were used in only eight cases. In 102 cases, impaction was recorded and quantitated. Pin penetration was noted in 44 cases (35%), and infection in 14 cases (11%). Sixty-four percent of the patients were followed for at least two years; 31 (39%) developed aseptic necrosis and five (6.3%) had nonunited fractures. Owing to the risks of increased operating time, blood loss, and technical difficulties encountered in the authors' teaching hospital, the method was discontinued.

摘要

在1970年至1980年的十年间,连续125例股骨颈骨折采用戴耶尔固定法进行治疗。该系列125例骨折中的123例患者平均年龄为62.2岁。69%的骨折发生了移位。仅8例使用的钢针少于9根。102例记录并定量了骨嵌插情况。44例(35%)出现钢针穿透,14例(11%)发生感染。64%的患者随访至少两年;31例(39%)发生无菌性坏死,5例(6.3%)出现骨折不愈合。由于作者所在教学医院存在手术时间延长、失血增加以及技术困难等风险,该方法被停用。

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The Deyerle device for fixation of femoral neck fractures. A review of one hundred twenty-five consecutive cases.用于股骨颈骨折固定的戴耶勒装置。对连续125例病例的回顾。
Clin Orthop Relat Res. 1986 May(206):248-52.
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