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股骨颈骨折中的皮质骨螺钉支撑。采用一种新的测量技术对87例骨折进行的影像学分析。

Cortical screw support in femoral neck fractures. A radiographic analysis of 87 fractures with a new mensuration technique.

作者信息

Lindequist S

机构信息

Karolinska Institute, Department of Orthopedics, Huddinge Hospital, Sweden.

出版信息

Acta Orthop Scand. 1993 Jun;64(3):289-93. doi: 10.3109/17453679308993627.

DOI:10.3109/17453679308993627
PMID:8322583
Abstract

In 87 femoral neck fractures, operated on with 2 von Bahr screws and followed for up to 2 years, the positions of the fixating screws were determined with a new mensuration technique which compensates for the variations in hip rotation in routine radiographs. The union rate of the fractures was related to the position of the screws. A posterior placement of the proximal screw and an inferior placement of the distal screw in both the femoral head and neck improved the outcome substantially.

摘要

在87例采用2枚冯·巴尔螺钉进行手术治疗并随访长达2年的股骨颈骨折病例中，运用一种新的测量技术确定固定螺钉的位置，该技术可补偿常规X线片中髋关节旋转的变化。骨折的愈合率与螺钉位置有关。近端螺钉后置以及股骨头和颈部的远端螺钉下置均能显著改善治疗效果。

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