| 股骨近端髓内钉治疗股骨粗隆间骨折针顶距控制TAD可靠性分析 |
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| 引用本文： | 李旭,徐贤,吴韦,谭军.股骨近端髓内钉治疗股骨粗隆间骨折针顶距控制TAD可靠性分析[J].中国矫形外科杂志,2010,18(2):95-97. |
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| 作者姓名： | 李旭 徐贤 吴韦 谭军 |
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| 作者单位： | 同济大学附属上海市东方医院骨科,上海市浦东新区即墨路150号,200120 |
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| 摘 要： | 目的]分析抗旋股骨近端髓内钉(proximal femoral nail anti-rotation,PFNA)治疗股骨粗隆间骨折中通过针顶距(K-wire apex distance,KAD)控制尖顶距(tip apex distance,TAD)的可靠性。方法]2007年1月~2009年1月,对44例股骨粗隆间骨折行闭合复位PFNA内固定,测量术中KAD与术后TAD并行相关分析。结果]42例患者获得6~18个月随访,平均10个月,骨折全部愈合,愈合时间11~23周,平均13周,术中针顶距(KAD)13~31 mm,平均21.75 mm,术后尖顶距(TAD)18~35 mm,平均24.61 mm。1例脑梗塞复发,无感染、螺旋刀片退出断裂及切出股骨头、深静脉血栓、髓内钉断裂、股骨干骨折等并发症发生。结论]PFNA治疗股骨粗隆间骨折术中通过C型臂X线机正侧位测量导针尾端至关节面的距离之和(KAD)可获得有效TAD控制,对预防螺旋刀片切出股骨头等并发症发生有重要意义。
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| 关 键 词： | 抗旋股骨近端髓内钉 股骨粗隆间骨折 尖顶距 |
Control of tip apex distance with K-wire apex distance: reliability of proximal femoral nail anti-rotation in treatment of intertrochanteric fracture |
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| LI Xu,XU Xian,WU Wei,et al..Control of tip apex distance with K-wire apex distance: reliability of proximal femoral nail anti-rotation in treatment of intertrochanteric fracture[J].The Orthopedic Journal of China,2010,18(2):95-97. |
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| Authors: | LI Xu XU Xian WU Wei |
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| Institution: | LI Xu,XU Xian,WU Wei,et al.Orthopedic Department,Dongfang Hospital Affiliated to Tongji University,Shanghai 200120,China |
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| Abstract: | Objective]To evaluate the reliability of proximal femoral nail anti-rotation(PFNA) in treatment of intertrochanteric fracture using K-wire apex distance(KAD) intraoperatively to control tip apex distance(TAD).Method]From January 2007 to January 2009,44 cases of intertrochanteric fractures were treated by closed reduction internal fixation with PFNA.Intra-operative KAD and post-operative TAD were measured and analyzed for their correlation.Result]Follow-up was given to 42 patients for 6-18 months(averaged... |
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| Keywords: | proximal femoral nail anti-rotation(PFNA) intertrochanteric fracture tip apex distance |
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