Levi N
Department of Orthopedic Surgery, Rigshospitalet, University of Copenhagen, Denmark.
Acta Orthop Belg. 1998 Sep;64(3):273-6.
A study of 456 cervical hip fractures treated with internal fixation was performed to evaluate the incidence of paralysis of the peroneal nerve following hip-fracture treatment. There were no cases of peroneal nerve paralysis in a group of 206 patient treated with a dynamic hip screw without preoperative traction. There were 2 cases of peroneal nerve paralysis in a group of 250 patients treated with 3 parallel screws with preoperative skeletal traction via a tibia pin. This difference was not significant according to Fischer's test (two-tailed P value = 0.5036). We conclude that the incidence of paralysis of the peroneal nerve following hip-fracture treatment is low although preoperative skeletal traction with the injured leg positioned in a Böhler-Braun splint may contribute to this complication.
对456例接受内固定治疗的颈椎髋部骨折患者进行了一项研究，以评估髋部骨折治疗后腓总神经麻痹的发生率。在一组206例未进行术前牵引而采用动力髋螺钉治疗的患者中，没有出现腓总神经麻痹的病例。在一组250例通过胫骨针进行术前骨牵引并采用3枚平行螺钉治疗的患者中，有2例出现腓总神经麻痹。根据费舍尔检验，这种差异不显著（双侧P值 = 0.5036）。我们得出结论，髋部骨折治疗后腓总神经麻痹的发生率较低，尽管将受伤的腿置于博勒-布劳恩夹板中进行术前骨牵引可能会导致这种并发症。
