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ID:20908737
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时间:2018-10-17
《股骨干骨折合并同侧股骨颈骨折的手术治疗方法及临床疗效》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、股骨干骨折合并同侧股骨颈骨折的手术治疗方法及临床疗效【摘要】目的:观察并分析股骨干骨折合并同侧股骨颈骨折的手术治疗方法及临床疗效。方法:回顾性分析2012年1月-2015年2月笔者所在医院收治的50例股骨干骨折合并同侧股骨颈骨折的患者,44例在手术前诊断为股骨干骨折合并同侧股骨颈骨折,其中采用股骨髓内钉重建同时固定股骨颈骨折和股骨骨干骨折有32例,采用钢板固定股骨干骨折、空心螺钉固定股骨颈骨折有12例;有3例在手术前只诊断了股骨干骨折而漏诊了股骨颈骨折,手术采用髓内钉进行固定,手术后发现合并患有股骨颈骨折,2
2、例采用空心螺钉加以治疗,4例采取重建髓内钉的治疗方法。结果:对术后患者进行随访,时间为1〜4年,平均1.4年。48例患者的骨折在术后15〜31周愈合,平均时间为19周;2例患者股骨干骨折在术后1年仍没有愈合,进行再次植骨手术后24周愈合;25例患者均没有发生股骨头坏死。结论:采用手术治疗股骨干骨折合并同侧股骨颈骨折时,只要严格按照操作规范并选用合适的固定材料,都可以获得较好的治疗效果。【关键词】股骨干骨折;股骨颈骨折;手术治中图分类号R687.3文献标识码B文章编号1674-6805(2015)23-0062
3、-02SurgicalTreatmentforIpsilateralFracturesofFemoralNeckandShaft/LINShi-fu,PANFu-wen,WANGQi-qi,etal.//ChineseandForeignMedicalResearch,2015,13(23):62-63【Abstract】Objective:Toobserveandexploretheeffectofsurgicaltreatmentonpatientswithipsilateralfemoralneckan
4、dshaftfractures.Method:Aretrospectivestudyof50caseswithipsilateralfemoralneckandshaftfracturesfromJanuary2012toFebruary2015wasdone.Amongthe44caseswhowereclearlydiagnosedbeforeoperation,32casesweregivenreconstructionnailingofbothshaftandneck,12casesweregiven
5、cancellousscrewfixationfortheneckandlimitedcontactdynamiccompressionplate(LC-DCP)fixationfortheshaft.Bothofthe6caseswhoweremisdiagnosedbeforethefirstoperationwerefixedwithintrameduiiarynailoriginally.Afteripsilateralfemoralneckfracturewasdiagnosed,secondope
6、rationsweredonetothem.Twocaseswasfixedwithcancellousscrew,4caseswasfixedwithreconstructionnail.Result:Allcaseshavebeenfollowedupfor1to4years(withanaverageof1.4years).Thefemoralshaftfractureswerehealedat15〜31weeks(withanaverageof19weeks)afteroperationin48cas
7、es.Thefemoralshaftfracturesfailedtohealin2casesevenat1yearaftertheoperation,andafterbonegrafting,thepatientwashealed24weekslater.Femoralheadnecrosisdidnotoccurinanycases.Conclusion:Satisfactoryclinicaleffectcanbeachievedthroughrationalandreliableinternalfix
8、ationinipsilateralfemoralshaftandneckfractures.【Keywords】Femoralshaftfractures;Femoralneckfractures;SurgicaltreatmentFirst-author'saddress:HainanProvinceNongkenSanyaHospital,Sanya572000,Chinadoi:10.140
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