Mannella P, Galeotti R, Borrelli M, Benea G, Traina G C, Massari L, Chiarelli G M
Radiol Med. 1986 Jun;72(6):462-5.
The choice between conservative and radical operation in case of femoral neck fractures is very important because it is the determining factor for a successful therapy. In case of epiphysial necrosis, an endoprosthesis as well as an osteosynthesis will be carried out. Selective arteriography of the medial circumflex artery represents the most reliable study to establish, immediately after the fracture, the possible presence of a post-traumatic ischemic necrosis. Angiography, as a reliable diagnostic tool, has to be carried out in the most selective way and needs the image subtraction technique. The authors report their preliminary results on the reliability of angiography in the femoral epiphyseal ischemic necrosis diagnosed by comparing the results of angiography with the Wood light test carried out on the surgically removed femoral head.
在股骨颈骨折的治疗中，保守手术与根治性手术的选择非常重要，因为这是治疗成功的决定性因素。如果发生骨骺坏死，则需进行假体植入以及骨固定术。旋股内侧动脉的选择性动脉造影是骨折后立即确定是否可能存在创伤后缺血性坏死的最可靠检查。血管造影作为一种可靠的诊断工具，必须以最具选择性的方式进行，并且需要图像减法技术。作者通过将血管造影结果与对手术切除的股骨头进行的伍德灯检查结果进行比较，报告了他们关于血管造影在诊断股骨骨骺缺血性坏死中可靠性的初步结果。
