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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.

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。

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