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[动力髋螺钉在股骨颈骨折内固定中的初步经验]

[Initial experience using the dynamic hip screw in osteosynthesis of femoral neck fractures].

作者信息

Siebler G, Kuner E H

出版信息

Unfallchirurgie. 1986 Dec;12(6):312-5. doi: 10.1007/BF02585839.

DOI:10.1007/BF02585839
PMID:3824686
Abstract

We report about our first experience in 16 patients with femoral neck fractures, operated upon with the dynamic hip screw. All fractures united within three to six months, early avascular necrosis did not occur. In the concept of treatment of femoral neck fractures osteosynthesis with dynamic hip screw has some advantage, especially compared with the AO-nail plate: Easy correction of the guide wire position, sufficient impaction of the fragments by using the compression screw, low risk of penetration into the acetabulum during fracture healing with shortening of the femoral neck.

摘要

我们报告了16例采用动力髋螺钉治疗股骨颈骨折的首次经验。所有骨折均在三至六个月内愈合,未发生早期缺血性坏死。在股骨颈骨折的治疗理念中,动力髋螺钉内固定具有一些优势,特别是与AO钢板相比:导丝位置易于校正,使用加压螺钉可使骨折块充分嵌插,骨折愈合过程中股骨颈缩短时髋臼穿透风险低。

相似文献

1
[Initial experience using the dynamic hip screw in osteosynthesis of femoral neck fractures].[动力髋螺钉在股骨颈骨折内固定中的初步经验]
Unfallchirurgie. 1986 Dec;12(6):312-5. doi: 10.1007/BF02585839.
2
[Osteosynthesis of intracapsular femoral neck fractures by dynamic hip screw (DHS) fixation].动力髋螺钉(DHS)固定治疗股骨颈囊内骨折的骨合成
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Aktuelle Traumatol. 1988 Dec;18(6):265-7.
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Helv Chir Acta. 1991 Feb;57(5):815-9.
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A comparative study between multiple cannulated screws and dynamic hip screw for fixation of femoral neck fracture in adults.成人股骨颈骨折内固定中多枚空心螺钉与动力髋螺钉的对比研究
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本文引用的文献

1
Results and complications of femoral neck fractures.股骨颈骨折的结果与并发症
Clin Orthop Relat Res. 1980 Oct(152):162-72.
2
[Screw osteosynthesis of subcapital femoral neck fractures. 3-year results].[股骨颈头下型骨折的螺钉内固定。3年随访结果]
Unfallheilkunde. 1982 Nov;85(11):457-63.
3
[The influence of primary closed reduction on the incidence of posttraumatic femoral head necrosis (author's transl)].一期闭合复位对创伤后股骨头坏死发生率的影响(作者译)
Unfallchirurgie. 1982 Feb;8(1):41-7. doi: 10.1007/BF02585791.
4
[Initial results with the AO Dynamic Hip Screw (DHS)].[AO动力髋螺钉(DHS)的初步结果]
Z Orthop Ihre Grenzgeb. 1985 Mar-Apr;123(2):193-200. doi: 10.1055/s-2008-1045134.
5
[Does compression screwing improve the prognosis of the medial fracture of the neck of the femur? (AUTHOR'S TRANSL)].加压螺钉固定能否改善股骨颈内侧骨折的预后?(作者译)
Unfallheilkunde. 1976 Jun;79(6):263-9.