股骨骨折分型.pdf

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1、FEMURBONE:FEMUR(3)Location:Proximalsegment(31)Types:A.Trochantericarea(31-A)B.Neckfractures(31-B)C.Headfractures(31-C)Groups:Femur,proximaltrochanteric(31-A)Femur,proximal,neckfracture(31-B)Femur,proximal,headfracture(31-C)1.Pertro-2.Pertro-3.Intertro-1.Subcapital2.Transcer-3.S

2、ubcapital1.Split(31-Cl)2.Withde-3.Withneckchantericsimplechantericchantericwithslightvical(31-B2)withmarkedpressionfracture(31-A1)multifrag-(31-A3)displacementdisplacement(31-C2)(31-C3)mentary(31-B1)(31-B3)(31-A2)©2007LippincottWilliams&WilkinsS31FemurJOrthopTrauma•Volume21,Num

3、ber10Supplement,November/December2007SubgroupsandQualifications:Femur,proximal,pertrochantericsimple(only2fragments)(31-A1)1.Alongintertrochantericline2.Throughthegreatertrochanter3.Belowlessertrochanter(31-A1.3)(31-A1.1)(31-A1.2)(1)highvariety,medialfracturelineat(1)nonimpacte

4、dlowerlimitoflessertrochanter(2)impacted(2)lowvariety,medialfracturelineindi-aphysisbelowlessertrochanterA1Femurproximal,trochantericfracture,pertrochantericmultifragmentary(alwayshaveposteromedialfragmentwithlessertrochanterandadjacentmedialcortex)(31-A2)1.With1intermediatefra

5、gment2.Withseveralintermediatefrag-3.Extendingmorethan1cmbelow(31-A2.1)ments(31-A2.2)lessertrochanter(31-A2.3)A2Femur,proximal,trochantericarea,intertrochautericfracture(31-A3)1.Simpleoblique(31-A3.1)2.Simpletransverse(31-A3.2)3.Multifragmentary(31-A3.3)(1)extendingtogreatertro

6、chanter(2)extendingtoneckA3S32©2007LippincottWilliams&WilkinsJOrthopTrauma•Volume21,Number10Supplement,November/December2007FemurFemur,proximal,neckfracture,slightdisplacement(31-B1)1.Impactedinvalgus15°2.Impactedinvalgus15°3.Nonimpacted(31-B1.3)(Garden2)(31-B1.1)(Garden1)(31

7、-B1.2)(Garden1/2)(1)posteriortilt15°(1)posteriortilt15°(2)posteriortilt15°(2)posteriortilt15°B1Femur,proximal,neckfracture,transcervical(31-B2)1.Basicervical(31-B2.1)2.Midcervicaladduction(31-B2.2)3.Midcervicalshear(31-B2.3)B2Femur,proximal,neckfracture,sub-capital,nonimpac

8、teddisplaced(31-B3)1.Moderatedisplacementinvarusand2.M