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移位型股骨颈骨折的早期内固定失败

Early fixation failure in displaced femoral neck fractures.

作者信息

Stappaerts K H

出版信息

Arch Orthop Trauma Surg (1978). 1985;104(5):314-8. doi: 10.1007/BF00435949.

DOI:10.1007/BF00435949
PMID:4091638
Abstract

A study of 76 displaced femoral neck fractures treated by reduction and Knowles pins or AO (ASIF) cancellous bone screws was carried out. Fixation failure within 3 months occurred in 17 cases (22%). Advanced age, inaccurate reduction, a poor mental state of the patient, the number of Knowles pins used, and the preinjury functional ability of the patient are significant risk factors for fixation failure. Neurological disease, the type of fracture according to Garden, delay before operation, and the method of fixation are not significantly related to fixation failure.

摘要

对76例采用复位及诺尔斯针或AO(ASIF)松质骨螺钉治疗的移位型股骨颈骨折进行了一项研究。17例(22%)在3个月内出现固定失败。高龄、复位不准确、患者精神状态差、诺尔斯针的使用数量以及患者伤前的功能能力是固定失败的重要危险因素。神经疾病、根据Garden分型的骨折类型、手术前的延迟时间以及固定方法与固定失败无显著相关性。

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1
Early fixation failure in displaced femoral neck fractures.移位型股骨颈骨折的早期内固定失败
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Arch Orthop Trauma Surg. 1994;113(2):97-100. doi: 10.1007/BF00572914.
2
[Fatigue fracture of the femoral neck following femoral intramedullary nailing].[股骨骨髓内钉固定术后股骨颈疲劳骨折]
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本文引用的文献

1
Impacted fixation over resilient multiple pins.
Clin Orthop Relat Res. 1980 Oct(152):102-22.
2
Femoral neck fractures. 165 cases treated by multiple percutaneous pinning.
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3
Treatment of displaced fractures of the femoral neck. Smith-Petersen osteosynthesis versus sliding-nail-plate osteosynthesis.股骨颈移位骨折的治疗。史密斯-彼得森骨接合术与滑动钉板骨接合术对比
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Comparison of fixation in the treatment of femoral neck fractures.股骨颈骨折治疗中固定方式的比较。
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Dislocated femoral neck fractures. A follow-up study of 98 cases treated by multiple AO (ASIF) cancellous bone screws.股骨颈骨折脱位。98例采用多枚AO(ASIF)松质骨螺钉治疗的随访研究。
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Forces acting on the femoral head-prosthesis. A study on strain gauge supplied prostheses in living persons.作用于股骨头假体的力。对活体中使用应变片式假体的研究。
Acta Orthop Scand. 1966;37:Suppl 88:1-132. doi: 10.3109/ort.1966.37.suppl-88.01.