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[在髋部关节周围股骨骨折的动力髋螺钉治疗中使用固定平行钻孔导向装置置入防旋转螺钉]

[Placement of anti-rotation screw using a fixed parallel bore guide device in dynamic hip screw management of hip para-articular femoral fractures].

作者信息

Bartl R, Hofer F

机构信息

Abteilung für Unfallchirurgie. Krankenhaus Amstetten.

出版信息

Unfallchirurgie. 1996 Apr;22(2):85-7.

PMID:8686090
Abstract

We implanted in case of hip-near fractures of the femur after DHS the anti-rotation screw with help of a special parallel drill guide. It was possible to position the anti-rotation screw in a parallel fashion in all patients so that the dynamic effect of the DHS was not impaired and a faulty penetration of the screw into the hip by a badly positioned anti-rotation screw could be avoided. The radiological follow up shows us no sign of impaired healing.

摘要

在采用动力髋螺钉（DHS）治疗股骨近端骨折后，我们借助一种特殊的平行钻孔导向器植入防旋螺钉。在所有患者中都能够以平行方式置入防旋螺钉，这样既不会损害DHS的动力效果，又能避免因防旋螺钉位置不当而导致螺钉误穿入髋关节。影像学随访未显示有愈合受损的迹象。

相似文献

1
[Placement of anti-rotation screw using a fixed parallel bore guide device in dynamic hip screw management of hip para-articular femoral fractures].[在髋部关节周围股骨骨折的动力髋螺钉治疗中使用固定平行钻孔导向装置置入防旋转螺钉]
Unfallchirurgie. 1996 Apr;22(2):85-7.
2
Comparison of compression hip screw and gamma nail for treatment of peritrochanteric fractures.加压髋螺钉与伽马钉治疗股骨转子周围骨折的比较。
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3
[The dynamic hip screw support plate for management of unstable proximal femoral fractures].[动力髋螺钉支撑板治疗股骨近端不稳定骨折]
Helv Chir Acta. 1993 Mar;59(4):521-5.
4
[Results of surgical management of unstable pertrochanteric femoral fractures with the dynamic hip screw and T-plate].
Unfallchirurgie. 1994 Apr;20(2):72-5. doi: 10.1007/BF02588146.
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[Surgical outcome in pertrochanteric femur fracture: the impact of osteoporosis. Comparison between DHS and percutaneous compression plate].股骨转子间骨折的手术疗效：骨质疏松的影响。动力髋螺钉与经皮加压钢板的比较
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[From the nail/plate to the dynamic hip screw--example of a generation change in implants for para-articular femoral fractures].[从接骨板到动力髋螺钉——关节周围股骨骨折植入物一代变迁的实例]
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Is there any place for the variable angle proximal femoral plate? A case matched cohort study against the Dynamic Hip Screw system.可变角度股骨近端钢板还有存在的价值吗？一项与动力髋螺钉系统对比的病例匹配队列研究。
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Mini-invasive nail versus DHS to fix pertrochanteric fractures: a case-control study.微创钉与 DHS 治疗股骨转子间骨折：病例对照研究。
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本文引用的文献

1
The treatment of trochanteric fractures of the femur.股骨转子间骨折的治疗
J Bone Joint Surg Br. 1949 May;31B(2):190-203.
2
[The dynamic hip screw support plate for management of unstable proximal femoral fractures].[动力髋螺钉支撑板治疗股骨近端不稳定骨折]
Helv Chir Acta. 1993 Mar;59(4):521-5.
3
The sliding compression screw--today's best answer for stabilization of intertrochanteric hip fractures.滑动加压螺钉——当今治疗股骨转子间髋部骨折稳定固定的最佳选择。
Orthop Clin North Am. 1980 Jul;11(3):507-23.
4
[Intraoperative and early postoperative complications in the osteosynthesis of pertrochanteric femoral fractures with the dynamic hip screw].[动力髋螺钉治疗股骨转子间骨折的术中及早期术后并发症]
Unfallchirurg. 1987 Sep;90(9):407-11.
5
[Experimental studies of the effectiveness of the sliding principle in dynamic hip screw osteosynthesis and its value in managing unstable pertrochanteric femoral fractures].
Chirurg. 1987 Feb;58(2):106-12.
6
[Management of unstable pertrochanteric and per- to subtrochanteric femoral fractures with the dynamic hip screw].[动力髋螺钉治疗不稳定型股骨转子间及转子下骨折]
Aktuelle Traumatol. 1992 Aug;22(4):144-8.