| 改良闭合复位技术治疗股骨颈骨折疗效分析 |
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投稿时间：2017-08-10
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| 作者 | Author | 单位 | Address | E-Mail |
| 林振恩 |
LIN Zhen-en |
厦门大学附属福州第二医院, 福建 厦门 350007 |
Fuzhou Second Hospital Affiliated to Xiamen University, Fuzhou 350007, Fujian, China |
1826939416@qq.com |
| 郑竑 |
ZHENG Hong |
厦门大学附属福州第二医院, 福建 厦门 350007 |
Fuzhou Second Hospital Affiliated to Xiamen University, Fuzhou 350007, Fujian, China |
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| 陈学生 |
CHEN Xue-sheng |
厦门大学附属福州第二医院, 福建 厦门 350007 |
Fuzhou Second Hospital Affiliated to Xiamen University, Fuzhou 350007, Fujian, China |
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| 李照辉 |
LI Zhao-hui |
厦门大学附属福州第二医院, 福建 厦门 350007 |
Fuzhou Second Hospital Affiliated to Xiamen University, Fuzhou 350007, Fujian, China |
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| 期刊信息：《中国骨伤》2018年，第31卷，第2期，第115-119页 |
| DOI：10.3969/j.issn.1003-0034.2018.02.004 |
| 基金项目: |
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中文摘要:
目的：分析改良闭合正骨手法术中复位股骨颈骨折临床疗效。
方法：选择2012年1月至2012年12月收治的股骨颈骨折47例，男25例，女22例；年龄23~61（44.58±10.32）岁。患者均有外伤史，患髋疼痛，活动受限，患肢短缩外旋畸形，X线片示股骨头下至股骨颈基底部之间的骨折，其中Garden Ⅲ型32例，Ⅳ型15例。入院后2~5 d行手术治疗，术中45°外展和伸直位极度内旋复位，3枚导针呈倒"品"字性结构排列。术后观察复位质量、骨折愈合、股骨头坏死、髋关节功能等。
结果：患者手术时间40~70 min，术中出血20~50 ml，所有患者获得良好复位，术中透视12~25次，45例患者随访24~36个月，2例失访；骨折均得到骨性愈合，有3例出现部分股骨头坏死，均处于ARCO分期Ⅱ期。术后24个月，行Harris髋关节评分：疼痛43.24±2.74，功能42.82±1.95，畸形活动3.72±0.45，活动范围2.77±0.52，总分92.56±4.42；结果优39例，良4例，可2例；无断钉、感染、深静脉血栓、再骨折等并发症。
结论：闭合正骨手法术中复位股骨颈骨折效果良好，术后患者髋关节功能恢复好，疗效满意。 |
| 【关键词】股骨颈骨折 正骨手法 外科手术 |
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| Analysis of curative effect of traditional Chinese bone setting manipulation for the treatment of femoral neck fracture |
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ABSTRACT
Objective: To analysis the outcome of modified closure bone setting manipulation for the treatment of femoral neck fracture.
Methods: From January 2012 to December 2012,47 cases of femoral neck fracture were treated and included 25 males and 22 females with an average age of (44.58±10.32) years old ranging from 23 to 61 years old. All patients had a history of trauma,hip pain and movement limited,limb shortening extorsion deformity,X-ray showed fracture between femoral head and femoral neck basic. Among them,32 cases were Garden type Ⅲ and 15 cases were type Ⅳ. Patients were performed surgical treatment at 2 to 5 days after admission with 45 degrees abduction and extension position,internal rotation reduction,and 3 guide pins were inverted in a equilateral triangular structure of upside down arrangement. The postoperative recovery quality,fracture healing,femoral head necrosis and hip function were observed.
Results: Operation time was 40 to 70 min,intraoperative bleeding was 20 to 50 ml. All patients received good reposition,and the intraoperative perspective was 12 to 25 times. Forty-five patients were followed up for 24 to 36 months,and 2 cases were lost. Fracture of 45 cases were got bony healing,3 cases with partial necrosis of femoral head,both in the ARCO stage Ⅱ. Twenty-four months after operation,Harris hip function score was 43.24±2.74 in pain,42.82±1.95 in function,3.72±0.45 in deformity,2.77±0.52 in activity,92.56±4.42 in total;the outcome was excellent in 39 cases,good in 4 cases,fair in 2 cases,without unbroken nails,infection,deep venous thrombosis,fracture and other complications.
Conclusion: Treatment of femoral neck fracture with the modified bone setting manipulation has an advantages of good effect,postoperative hip function recovery,curative effect. |
| KEY WORDS Femoral neck fracture Bone setting manipulation Surgical procedures,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 林振恩,郑竑,陈学生,李照辉.改良闭合复位技术治疗股骨颈骨折疗效分析[J].中国骨伤,2018,31(2):115~119 |
| 英文格式: | LIN Zhen-en,ZHENG Hong,CHEN Xue-sheng,LI Zhao-hui.Analysis of curative effect of traditional Chinese bone setting manipulation for the treatment of femoral neck fracture[J].zhongguo gu shang / China J Orthop Trauma ,2018,31(2):115~119 |
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