• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

一名截瘫患者的双侧股骨粗隆间骨折：病例报告

Bilateral Intertrochanteric Femur Fractures in a Paraplegic Patient: A Case Report.

作者信息

Forrest Anthony, Eaddy Samuel G, Fulton Zachary W, Boothby Benjamin

机构信息

Orthopedic Surgery, Mercy Health St. Vincent Medical Center, Toledo, USA.

出版信息

Cureus. 2024 Feb 25;16(2):e54883. doi: 10.7759/cureus.54883. eCollection 2024 Feb.

DOI:10.7759/cureus.54883
PMID:38533172
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10964221/
Abstract

Bilateral intertrochanteric (IT) femur fractures are rare, and appropriate evaluation and treatment can vary depending on concurrent patient comorbidities. Even less has been described for patients with bilateral IT fractures with pre-existing paraplegia. This case report describes the unique case of a 72-year-old paraplegic female who presented with bilateral IT femur fractures due to a wheelchair accident. The patient was treated with single-stage bilateral cephalomedullary nail fixation so she could effectively transfer to and from the wheelchair with less pain and a greater chance of fracture union. At the last follow-up, the patient's pain had resolved and she was able to transfer as effectively and safely as her pre-injury baseline. Single-stage cephalomedullary fixation of bilateral IT femur fractures is indicated in the paraplegic population to relieve pain and improve effective safe transfers for daily activities.

摘要

双侧股骨粗隆间骨折较为罕见，合适的评估和治疗方法会因患者并存的合并症而有所不同。对于已有截瘫的双侧股骨粗隆间骨折患者，相关描述则更少。本病例报告描述了一名72岁截瘫女性的独特病例，她因轮椅事故导致双侧股骨粗隆间骨折。该患者接受了一期双侧髓内钉固定治疗，以便她能更有效地在轮椅上下转移，减少疼痛，并增加骨折愈合的机会。在最后一次随访时，患者的疼痛已缓解，并且能够像受伤前一样有效且安全地进行转移。对于截瘫患者，双侧股骨粗隆间骨折采用一期髓内固定可缓解疼痛，并改善日常活动中有效且安全的转移能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3128/10964221/82f1eec0ba13/cureus-0016-00000054883-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3128/10964221/dfa0804a835d/cureus-0016-00000054883-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3128/10964221/7f82a24e2ce2/cureus-0016-00000054883-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3128/10964221/62f3a83ae1dd/cureus-0016-00000054883-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3128/10964221/910b7ec4f1cf/cureus-0016-00000054883-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3128/10964221/83352bfa2623/cureus-0016-00000054883-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3128/10964221/82f1eec0ba13/cureus-0016-00000054883-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3128/10964221/dfa0804a835d/cureus-0016-00000054883-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3128/10964221/7f82a24e2ce2/cureus-0016-00000054883-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3128/10964221/62f3a83ae1dd/cureus-0016-00000054883-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3128/10964221/910b7ec4f1cf/cureus-0016-00000054883-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3128/10964221/83352bfa2623/cureus-0016-00000054883-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3128/10964221/82f1eec0ba13/cureus-0016-00000054883-i06.jpg

相似文献

1
Bilateral Intertrochanteric Femur Fractures in a Paraplegic Patient: A Case Report.一名截瘫患者的双侧股骨粗隆间骨折：病例报告
Cureus. 2024 Feb 25;16(2):e54883. doi: 10.7759/cureus.54883. eCollection 2024 Feb.
2
A Rare Case of Simultaneous Fracture Neck of Femur on One Side and Contralateral Intertrochanteric Fracture Femur in a 41-Year-Old Female - A Case Report.一名41岁女性同时发生一侧股骨颈骨折和对侧股骨转子间骨折的罕见病例——病例报告
J Orthop Case Rep. 2021 Jul;11(7):61-64. doi: 10.13107/jocr.2021.v11.i07.2318.
3
Loss of Reduction after Cephalomedullary Nail Fixation of Intertrochanteric Femoral Fracture: A Brief Report.股骨转子间骨折顺行髓内钉固定后丢失复位：简短报告。
Orthop Surg. 2020 Dec;12(6):1998-2003. doi: 10.1111/os.12828. Epub 2020 Oct 20.
4
Septic Dislocation of Hip After Cephalomedullary Nail Fixation of Intertrochanteric Fractures of Femur: A Case Report.股骨转子间骨折顺行交锁髓内钉固定术后髋关节感染性脱位 1 例报告
JBJS Case Connect. 2021 May 27;11(2):01709767-202106000-00093. doi: e20.00242.
5
Case report: unique failure of a Synthes TFNA fenestrated lag screw in a peritrochanteric nonunion.病例报告：Synthes TFNA 开窗拉力螺钉在转子周围骨不连中的罕见失败案例
OTA Int. 2022 Mar 18;5(2):e203. doi: 10.1097/OI9.0000000000000203. eCollection 2022 Jun.
6
Short versus long cephalomedullary nailing of intertrochanteric fractures: a meta-analysis of 3208 patients.短与长股骨近端髓内钉治疗股骨转子间骨折：3208 例患者的荟萃分析。
Arch Orthop Trauma Surg. 2022 Jul;142(7):1367-1374. doi: 10.1007/s00402-021-03752-z. Epub 2021 Jan 23.
7
Complications of short versus long cephalomedullary nail for intertrochanteric femur fractures, minimum 1 year follow-up.用于股骨转子间骨折的短与长型髓内钉的并发症，至少1年随访
Eur J Orthop Surg Traumatol. 2015 May;25(4):665-70. doi: 10.1007/s00590-014-1557-2. Epub 2014 Oct 22.
8
Clinicoradiological Outcome of Concomitant Fractures of Proximal Femur and Femoral Shaft Treated With Second-Generation Cephalomedullary Nailing.采用第二代股骨近端髓内钉治疗股骨近端与股骨干合并骨折的临床影像学结果
Cureus. 2021 Jun 1;13(6):e15381. doi: 10.7759/cureus.15381. eCollection 2021 Jun.
9
Cephalomedullary nail versus sliding hip screw for fixation of AO 31 A1/2 intertrochanteric femoral fracture: a 12-year comparison of failure, complications, and mortality.用于AO 31 A1/2型股骨转子间骨折固定的髓内钉与动力髋螺钉：12年失败率、并发症及死亡率的比较
Curr Orthop Pract. 2016 Nov-Dec;27(6):604-613. doi: 10.1097/BCO.0000000000000424.
10
Short Versus Long Cephalomedullary Nails for Fixation of Stable Versus Unstable Intertrochanteric Femur Fractures at a Level 1 Trauma Center.在一级创伤中心使用短型与长型股骨近端髓内钉固定稳定型与不稳定型股骨转子间骨折的对比研究
Orthopedics. 2019 Mar 1;42(2):e202-e209. doi: 10.3928/01477447-20190118-03. Epub 2019 Jan 31.

本文引用的文献

1
Simultaneous bilateral extracapsular proximal femur fractures in the elderly. A case report.老年人双侧股骨近端同时发生囊外骨折。病例报告。
J Surg Case Rep. 2022 Jul 5;2022(7):rjac313. doi: 10.1093/jscr/rjac313. eCollection 2022 Jul.
2
Clinical and Radiological Outcomes After Surgical Treatment of Lower Limb Fractures in Patients With Spinal Cord Injury.脊髓损伤患者下肢骨折手术治疗后的临床及影像学结果
Global Spine J. 2020 Sep;10(6):715-719. doi: 10.1177/2192568219871019. Epub 2019 Aug 19.
3
Simultaneous bilateral femoral neck fractures in a dialysis-dependent patient: case report and literature review.
一名依赖透析患者的双侧股骨颈同时骨折：病例报告及文献综述
BMC Musculoskelet Disord. 2020 Apr 15;21(1):242. doi: 10.1186/s12891-020-03281-7.
4
The brief window of time comprising a wheelchair transfer confers a significant fracture risk on elderly Americans.轮椅转移过程中的短暂时间窗口，使美国老年人面临着重大的骨折风险。
Public Health. 2020 May;182:1-6. doi: 10.1016/j.puhe.2020.01.002. Epub 2020 Feb 24.
5
Incidence and Economic Burden of Intertrochanteric Fracture: A Medicare Claims Database Analysis.粗隆间骨折的发病率及经济负担：一项医疗保险索赔数据库分析
JB JS Open Access. 2019 Feb 27;4(1):e0045. doi: 10.2106/JBJS.OA.18.00045. eCollection 2019 Mar 27.
6
Management of Lower Extremity Long-bone Fractures in Spinal Cord Injury Patients.脊髓损伤患者下肢长骨骨折的管理
J Am Acad Orthop Surg. 2017 Sep;25(9):e204-e213. doi: 10.5435/JAAOS-D-15-00686.
7
Lower extremity fractures in patients with spinal cord injury characteristics, outcome and risk factors for non-unions.脊髓损伤患者下肢骨折的特点、愈合结果及骨不连的危险因素。
J Spinal Cord Med. 2018 Nov;41(6):676-683. doi: 10.1080/10790268.2017.1329915. Epub 2017 May 25.
8
Long-bone fractures in persons with spinal cord injury.脊髓损伤患者的长骨骨折。
Spinal Cord. 2015 Sep;53(9):701-4. doi: 10.1038/sc.2015.74. Epub 2015 May 19.
9
Bilateral femoral neck fractures after an epileptic attack: A case report.癫痫发作后双侧股骨颈骨折：一例报告
Int J Surg Case Rep. 2015;6C:107-10. doi: 10.1016/j.ijscr.2014.12.003. Epub 2014 Dec 13.
10
Timing of hip fracture surgery in the elderly.老年人髋部骨折手术的时机
Geriatr Orthop Surg Rehabil. 2014 Sep;5(3):138-40. doi: 10.1177/2151458514537273.