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股骨颈骨折治疗中固定方式的比较。

Comparison of fixation in the treatment of femoral neck fractures.

作者信息

McCutchen J W, Carnesale P G

出版信息

Clin Orthop Relat Res. 1982 Nov-Dec(171):44-50.

PMID:7140085
Abstract

Two hundred ninety patients with femoral neck fractures of the Garden Type III or IV were treated during the years 1965 through 1978 using one of four types of internal fixation devices. The results divided the devices into two distinct groups. Those allowing highly stable fixation (Calandruccio compression and Deyerle devices) had a higher rate of union and a higher rate of early complications. Those less stable devices (Smith-Peterson nail with Knowles pins and Knowles pins alone) had lower rates of union and early complication. Although avascular necrosis is recorded, no significant comparison could be made because of the lack of a two-year follow-up study in a significant number of cases.

摘要

1965年至1978年间,采用四种内固定装置之一对290例Garden III型或IV型股骨颈骨折患者进行了治疗。结果将这些装置分为两个不同的组。那些允许高度稳定固定的装置(卡兰德鲁乔加压装置和戴耶尔装置)愈合率较高,早期并发症发生率也较高。那些稳定性较差的装置(带诺尔斯钉的史密斯-彼得森钉和仅用诺尔斯钉)愈合率和早期并发症发生率较低。虽然记录了缺血性坏死情况,但由于大量病例缺乏两年的随访研究,无法进行显著比较。

相似文献

1
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。
Clin Orthop Relat Res. 1982 Nov-Dec(171):44-50.
2
Femoral neck fractures. 121 cases treated by Knowles pinning.股骨颈骨折。121例采用诺尔斯针固定治疗。
Clin Orthop Relat Res. 1991 Oct(271):195-200.
3
Verified causes of failure in the treatment of femoral neck fractures with multiple Knowles pins.经证实的使用多根诺尔斯针治疗股骨颈骨折失败的原因。
Ital J Orthop Traumatol. 1991 Mar;17(1):107-16.
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Internal fixation of femoral neck fractures. A follow-up study of 118 cases.股骨颈骨折的内固定。118例随访研究。
Acta Chir Belg. 1987 Jul-Aug;87(4):247-51.
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Deyerle fixation for intracapsular fractures of the femoral neck.用于股骨颈囊内骨折的戴耶尔固定术
Clin Orthop Relat Res. 1979 Oct(144):178-82.
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Deyerle treatment for femoral neck fractures.戴耶尔治疗股骨颈骨折的方法。
J Bone Joint Surg Am. 1978 Mar;60(2):269-71.
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[Reasonably good results of Hansson's pins in elderly patients with a medial femoral neck fracture].[汉森氏针治疗老年股骨颈内侧骨折取得相当不错的效果]
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Bone Joint J. 2013 Oct;95-B(10):1402-5. doi: 10.1302/0301-620X.95B10.31511.

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Methods to predict osteonecrosis of femoral head after femoral neck fracture: a systematic review of the literature.方法预测股骨头坏死股骨颈骨折后:系统评价文献。
J Orthop Surg Res. 2023 May 22;18(1):377. doi: 10.1186/s13018-023-03858-7.
2
Comparing the volume of vascular intersection of two femoral neck fracture fixation implants using an technique.使用一种技术比较两种股骨颈骨折固定植入物的血管交叉体积。
OTA Int. 2023 May 4;6(2 Suppl):e256. doi: 10.1097/OI9.0000000000000256. eCollection 2023 May.
3
Early fixation failure in displaced femoral neck fractures.
移位型股骨颈骨折的早期内固定失败
Arch Orthop Trauma Surg (1978). 1985;104(5):314-8. doi: 10.1007/BF00435949.
4
Sliding-screw plate fixation of proximal femoral fractures: radiographic assessment.股骨近端骨折的滑动螺钉钢板固定:影像学评估
Skeletal Radiol. 1985;14(2):104-10. doi: 10.1007/BF00349744.
5
Displaced femoral neck fractures treated with the Gouffon pin.采用古丰针治疗的移位型股骨颈骨折
Int Orthop. 1991;15(2):139-41. doi: 10.1007/BF00179713.