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采用滑动螺钉钢板系统治疗不稳定型转子间骨折。不稳定型转子间骨折的生物力学研究。III。

Unstable trochanteric fractures treated with the sliding screw-plate system. A biomechanical study of unstable trochanteric fractures. III.

作者信息

Jensen J S, Tøndevold E, Mossing N

出版信息

Acta Orthop Scand. 1978 Aug;49(4):392-7. doi: 10.3109/17453677809050094.

DOI:10.3109/17453677809050094
PMID:696281
Abstract

Eighty unstable trochanteric fractures were treated with the sliding screw-plate system. Early weight-bearing was encouraged and mobilization was obtained within the first week in 47 per cent of the cases (37/78). Technical complications were encountered in 5 per cent of the patients (4/76) but none required re-operation. Telescoping of the screw occurred in 49 per cent (37/76). Through this secondary fracture impaction a stable load transmission system was established. Fracture union in the postoperative position was obtained in 49 per cent of the patients (37/76) and non-union did not occur.

摘要

80例不稳定型股骨转子间骨折采用滑动加压螺钉钢板系统治疗。鼓励早期负重,78例中有47%(37例)在第一周内实现了活动,76例患者中有5%(4例)出现技术并发症,但均无需再次手术。76例中有49%(37例)发生螺钉缩短。通过这种继发性骨折嵌插,建立了稳定的载荷传递系统。76例患者中有49%(37例)在术后位置实现骨折愈合,未发生骨不连。

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