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髋关节脱位对股骨头血液供应的影响。一项在兔子身上的实验研究。

Effect of hip dislocation on the blood supply to the femoral head. An experimental study in rabbits.

作者信息

Sapkas G, Pantazopoulos T, Karanikas E, Hartofilakidis-Garofalidis G

出版信息

Acta Orthop Scand. 1983 Apr;54(2):204-9. doi: 10.3109/17453678308996557.

DOI:10.3109/17453678308996557
PMID:6845995
Abstract

This work consists of a series of experiments which were made in order: a) to examine the possible alterations of blood flow to the reduced femoral heads of rabbits, after inducing a closed dislocation of their hips and b) to determine the influence of the early or late reduction of the dislocated femoral heads on their blood flow. The estimations of blood flow to the normal and reduced femoral heads were made using radioactive microspheres. The findings are as follows: a) The blood flow of the femoral heads of the reduced hips was never interrupted completely. b) The initially decreased femoral head blood flow progressively increased, in association to the time elapsed from the reduction. c) No statistically significant difference was found in the femoral head blood flow between hips reduced in early and those reduced late. d) Pure traumatic dislocation of the hip can only rarely be the cause of aseptic necrosis of the femoral head.

摘要

这项工作包括一系列按以下顺序进行的实验

a)在诱导兔髋关节闭合性脱位后,检查流向其股骨头缺血的血流可能发生的变化;b)确定脱位股骨头早期或晚期复位对其血流的影响。使用放射性微球对正常和缺血股骨头的血流进行评估。结果如下:a)复位髋关节的股骨头血流从未完全中断。b)最初减少的股骨头血流逐渐增加,与复位后经过的时间相关。c)早期复位和晚期复位的髋关节之间,股骨头血流未发现统计学上的显著差异。d)单纯创伤性髋关节脱位很少能成为股骨头无菌性坏死的原因。

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Acta Orthop Scand. 1983 Apr;54(2):204-9. doi: 10.3109/17453678308996557.
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引用本文的文献

1
Neglected traumatic hip dislocation: Influence of the increased intracapsular pressure.创伤性髋关节脱位被忽视:关节囊内压力升高的影响
World J Orthop. 2018 Mar 18;9(3):35-40. doi: 10.5312/wjo.v9.i3.35.
2
Late versus early reduction in traumatic hip dislocations: a meta-analysis.创伤性髋关节脱位的晚期复位与早期复位:一项荟萃分析
Eur J Orthop Surg Traumatol. 2017 Dec;27(8):1109-1116. doi: 10.1007/s00590-017-1988-7. Epub 2017 Jun 3.