Pannike A
Zentrum der Chirurgie-Klinik für Unfallchirurgie, Klinikum der Johann-Wolfgang-Goethe-Universität Frankfurt a. M.
Unfallchirurgie. 1996 Dec;22(6):239-47.
Over a long period of time the dislocated and unstable fracture of the femoral neck has been called "the unsolved fracture". Regardless of all technical improvement developed the head- and joint preserving treatment of this fracture seemed to remain an "unsolvable" problem. Fundamental reason for this discrediting judgement was the continuously high rate of complications like segmental collapse of the femoral head and pseudarthrosis of the femoral neck. The invention and speedy acceptance of hip joint replacement made many surgeons hope that the "unsolved" problems of treating femoral neck fractures could be guided to a definite conclusion. This revising discussion is done to bring home being familiar with the experience gained by practising the head- and joint preserving surgery of femoral fractures.
长期以来，股骨颈移位不稳定骨折一直被称为“未解决的骨折”。尽管在技术上有了种种改进，但这种骨折的保头和保关节治疗似乎仍然是一个“无法解决”的问题。这种负面评价的根本原因是诸如股骨头节段性塌陷和股骨颈假关节等并发症的发生率持续居高不下。髋关节置换术的发明和迅速被接受，让许多外科医生希望股骨颈骨折治疗的“未解决”问题能够有一个明确的结论。本次修正性讨论旨在让大家熟悉在股骨骨折保头和保关节手术实践中所获得的经验。
