| 股骨颈骨折术后空心钉脱出与中期并发症的关系 |
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| 引用本文： | 李卫哲,庄瑞卓,贾军,贾健.股骨颈骨折术后空心钉脱出与中期并发症的关系[J].中国矫形外科杂志,2011,19(6):455-458. |
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| 作者姓名： | 李卫哲 庄瑞卓 贾军 贾健 |
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| 作者单位： | 1. 天津市天津医院,天津市河西区解放南路406号,300211
2. 天津市宁河县中医院,宁河县新华道30号,301500 |
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| 摘 要： | 目的]探讨股骨颈骨折空心钉固定术后空心钉脱出与并发症的关系.方法]对2008年10月～2010年10月间于天津医院创伤骨科行内固定治疗的135例股骨颈骨折患者资料进行回顾性分析.男61例,女74例;年龄18～78岁,平均48.6岁.摔伤83例,车祸45例,其他损伤7例.按股骨颈骨折Garden分型:Ⅱ型9例,Ⅲ型75例,Ⅳ型51例.随访16～56个月,平均38.2个月.结果]52例(38.5%)发生股骨颈短缩愈合;9例(6.7%)发生骨折不愈合;20例(14.8%)出现股骨头坏死;42例(31.1%)术后发生空心钉脱出,其中伴短缩愈合24例(46.2%)、不愈合6例(66.7%)、股骨头坏死12例(60%).术后空心钉脱出的发生与骨折Garden分型、骨质疏松Singh指数及骨折复位的Garden指数密切相关;且与骨折短缩愈合、骨折不愈合、股骨头坏死有密切关系.结论]密切关注股骨颈骨折术后内固定的松动情况,防止空心钉过度脱出将有助于减少术后并发症,提高疗效.
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| 关 键 词： | 股骨颈骨折 骨折内固定术 脱出 骨折不愈合 骨坏死 |
Relation between retrograde emersion of cannulated screws and complication after internal fixation of femoral neck fractures |
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| LI Wei-zhe,ZHUANG Rui-zhuo,JIA Jun,et al..Relation between retrograde emersion of cannulated screws and complication after internal fixation of femoral neck fractures[J].The Orthopedic Journal of China,2011,19(6):455-458. |
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| Authors: | LI Wei-zhe ZHUANG Rui-zhuo JIA Jun |
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| Institution: | LI Wei-zhe,ZHUANG Rui-zhuo,JIA Jun,et al.Department of Orthopaedics and Traumatology,Tianjin Hospital,Tianjin 300211,China |
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| Abstract: | Objective]To investigate the relation between retrograde emersion of cannulated screws and complication after internal fixation of femoral neck fractures. Method]Totally 135 patients involving 61 men and 74 weman who suffered from femoral neck fracture treated with internal fixation and removing internal fixation between October 2008 and October 2010 were evaluated retrospectively.The average age were 48.6 years with a range from 18 to 78 years.The machanism of injury consisted of a traffic accident for 4... |
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| Keywords: | femoral neck fractures fractures internal fixation retrograde fractures nonunion femoral head necrosis |
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