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股骨颈骨折手术患者的早期结果。1972 - 1975年芬兰中部中心医院应用AO技术的经验(作者译)

[Early results of the operated patients with a femoral neck fracture. Experiences with the AO techniques in the Central Hospital of Central Finland in 1972--75 (author's transl)].

作者信息

Lüthje P, Sundin A, Ketola A

出版信息

Z Orthop Ihre Grenzgeb. 1978 Feb;116(1):101-5.

PMID:654429
Abstract

The results of 223 patients with fractures of the femoral neck treated by AO osteosynthes were evaluated. The series consisted of 140 women and 83 men, 114 femoral neck fractures and 109 trachanteric fractures. One year after the operation the nailing results were poor in 22.9 per cent of the femoral neck fractures and in 2.7 per cent of the trochanteric fractures. The reasons of the poor results were mainly the perforation of the nail. Pseudoarthrosis were founded in 3 cases and in one case the AO nail was broken. The mortality after 2 weeks was 3.1 per cent, after one month 6.3 per cent, after 6 months 15.7 per cent and after 12 months 20.6 per cent. Infection and thrombosis were founded both in 3.1 per cent.

摘要

对223例采用AO接骨术治疗的股骨颈骨折患者的结果进行了评估。该组包括140名女性和83名男性,114例股骨颈骨折和109例转子间骨折。术后一年,股骨颈骨折的22.9%和转子间骨折的2.7%的内固定效果较差。效果不佳的主要原因是髓内钉穿孔。发现3例假关节形成,1例AO髓内钉断裂。2周后的死亡率为3.1%,1个月后为6.3%,6个月后为15.7%,12个月后为20.6%。感染和血栓形成的发生率均为3.1%。

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