| 闭式复位加压空心钉内固定治疗股骨颈骨折35例体会 |
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| 引用本文： | 赵辉,金纬,赵光远,杨爱龙. 闭式复位加压空心钉内固定治疗股骨颈骨折35例体会[J]. 黑龙江医学, 2006, 30(3): 220-221 |
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| 作者姓名： | 赵辉 金纬 赵光远 杨爱龙 |
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| 作者单位： | 哈尔滨市骨伤科医院骨科三病区,黑龙江,哈尔滨,150010;哈尔滨市骨伤科医院骨科三病区,黑龙江,哈尔滨,150010;哈尔滨市骨伤科医院骨科三病区,黑龙江,哈尔滨,150010;哈尔滨市骨伤科医院骨科三病区,黑龙江,哈尔滨,150010 |
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| 摘 要： | 目的总结闭式复位,加压空心钉内固定对股骨颈骨折的经验。方法选择35例股骨颈骨折病例,牵引2~4 d后,复位满意后,在延续硬膜外麻醉下,用C型臂X线机透视下手法复位后,在粗隆下纵行切口3.0~5.0 cm,平行股骨颈打入第1枚2.0 mm导针,再与第1枚导针平行打入第2、3枚导针,然后沿3枚导针入空心钉。结果35例均1期愈合,6个月~3年,平均1.5年。除3例骨折不愈合外,其余32例于6个月骨性愈合、功能良好。结论采用闭式复位,加压空心钉内固定治疗股骨颈骨折方法简单,效果理想。
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| 关 键 词： | 骨外科学 闭式复位 加压空心钉 股骨颈骨折 |
| 文章编号： | 1004-5775(2006)03-0220-02 |
| 收稿时间： | 2005-12-16 |
| 修稿时间： | 2005-12-16 |
Experience of Treatment of Femoral Head Fracture with Pressurizing Hollow Screw Closed Reduction |
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| ZHAO Hui, JIN Wei, ZHAO Guang- yuan,et al.. Experience of Treatment of Femoral Head Fracture with Pressurizing Hollow Screw Closed Reduction[J]. Heilongjiang Medical Journal, 2006, 30(3): 220-221 |
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| Authors: | ZHAO Hui JIN Wei ZHAO Guang- yuan et al. |
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| Affiliation: | The Bone Traumatocomium Hospital of Harbin City, Harbin 150080, China |
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| Abstract: | Objective To summarize the experience of treatment of femoral head fracture(FHF) with pressurizing hollow screw closed reduction(CR).Methods 35 cases of FHF patient were treated with manipulative reduction under monitor after retraction 2～4 days.The pressurizing hollow screws were fixed at inferior tuberosity under epidural anesthesia.Results All cases healed in first stage in 6 months to 3 years.32 cases healed bone union except 3 cases with good function.Conclusion This method might be simple and ideal effect to treat FHF. |
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| Keywords: | Bone surgery Closed reduction Pressurizing hollow screw Femoral head fracture |
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