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[不稳定型股骨颈骨折的外科治疗]

[Surgical treatment of unstable femoral neck fractures].

作者信息

Tateosov G I, Michurin N V

出版信息

Vestn Khir Im I I Grek. 1983 Dec;131(12):62-4.

PMID:6367202
Abstract

Results of the treatment of 378 patients with unstable fracture of the femur neck were analyzed. The authors recommend to use osteosynthesis with a three-blade rod with an additional fixation by a lateral plank and screws to the femur diaphysis combined with osseous allotransplant introduced parallel to the metallic fixator. The follow-up studies for 6 years have shown the false joint to be formed in 5% of the patients operated by the proposed method while osteosynthesis by a three-blade rod only gave it in 23,8% of cases.

摘要

分析了378例股骨颈不稳定骨折患者的治疗结果。作者建议采用三刃钉骨固定术,并辅以外侧钢板和螺钉对股骨干进行额外固定,同时将同种异体骨平行于金属固定器植入。6年的随访研究表明,采用该方法手术的患者中有5%形成了假关节,而仅采用三刃钉骨固定术的患者中这一比例为23.8%。

相似文献

1
[Surgical treatment of unstable femoral neck fractures].[不稳定型股骨颈骨折的外科治疗]
Vestn Khir Im I I Grek. 1983 Dec;131(12):62-4.
2
[A combined osteosynthesis method for ununited fractures and pseudarthroses of the femur neck].[一种用于股骨颈骨折不愈合和假关节的联合骨固定方法]
Vestn Khir Im I I Grek. 1990 Nov;145(11):75-7.
3
[Osteosynthesis of femoral neck fractures in adults. Long-term results of treatment using Descamps-Kerner compression screw-plates].
Rev Chir Orthop Reparatrice Appar Mot. 1982;68(7):481-5.
4
[Ununited fractures of the femoral neck treated by cervicocephalic impaction. A report of two cases (author's transl)].
Rev Chir Orthop Reparatrice Appar Mot. 1979 Jan-Feb;65(1):49-52.
5
[Our tactics and the results of surgical treatment of adduction fractures of the femur neck].[我们治疗股骨颈内收骨折的策略及手术治疗结果]
Ortop Travmatol Protez. 1978 Mar(3):30-4.
6
Antegrade nailing of femoral shaft fractures combined with neck or distal femur fractures. A retrospective review of 25 cases, with a follow-up of 36-150 months.股骨干骨折合并股骨颈或股骨远端骨折的顺行髓内钉固定。对25例患者进行回顾性研究,随访时间为36至150个月。
Arch Orthop Trauma Surg. 2003 Dec;123(10):544-50. doi: 10.1007/s00402-003-0584-y. Epub 2003 Sep 9.
7
[Renailing in failure of the nailed femoral neck fracture].
Zhonghua Wai Ke Za Zhi. 1988 Nov;26(11):685-7, 703.
8
[Osteosynthesis of femoral neck fractures with 3 curved elastic nails].[采用3枚弧形弹性髓内钉治疗股骨颈骨折的骨内固定术]
Rev Chir Orthop Reparatrice Appar Mot. 1984;70(1):5-9.
9
Osteosynthesis of fractures of the femur with flexible metallic intramedullary nails.使用弹性金属髓内钉对股骨骨折进行骨固定术。
Ital J Orthop Traumatol. 1978 Apr;4(1):23-9.
10
[Osteosynthesis of median femoral neck fractures using spongiosa screws].
Aktuelle Traumatol. 1985 Jun;15(3):93-9.

引用本文的文献

1
Bone grafting in femoral neck fractures: results in 28 cases operated on with multiple pinning and cancellous bone grafting.
Arch Orthop Trauma Surg. 1989;108(2):116-8. doi: 10.1007/BF00932168.