| 股骨颈分区对股骨近端髓内钉拉力螺钉导针初次置入前倾角偏大的影响 |
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投稿时间：2018-07-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 魏杰 |
WEI Jie |
杭州市余杭区中医院骨伤科, 浙江 杭州 311106 |
Department of Orthopaedics, Hangzhou Yuhang District Traditional Chinese Hospital, Hangzhou 311106, Zhejiang, China |
weijie2008hangzhou@163.com |
| 刘松华 |
LIU Song-hua |
杭州市余杭区中医院骨伤科, 浙江 杭州 311106 |
Department of Orthopaedics, Hangzhou Yuhang District Traditional Chinese Hospital, Hangzhou 311106, Zhejiang, China |
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| 陈志明 |
CHEN Zhi-ming |
杭州市余杭区中医院骨伤科, 浙江 杭州 311106 |
Department of Orthopaedics, Hangzhou Yuhang District Traditional Chinese Hospital, Hangzhou 311106, Zhejiang, China |
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| 徐晓霞 |
XU Xiao-xia |
杭州市余杭区中医院骨伤科, 浙江 杭州 311106 |
Department of Orthopaedics, Hangzhou Yuhang District Traditional Chinese Hospital, Hangzhou 311106, Zhejiang, China |
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| 马春雨 |
MA Chun-yu |
杭州市余杭区中医院骨伤科, 浙江 杭州 311106 |
Department of Orthopaedics, Hangzhou Yuhang District Traditional Chinese Hospital, Hangzhou 311106, Zhejiang, China |
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| 期刊信息：《中国骨伤》2019年，第32卷，第2期，第111-115页 |
| DOI：10.3969/j.issn.1003-0034.2019.02.004 |
| 基金项目: |
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中文摘要:
目的：探讨股骨颈分区对股骨近端髓内钉治疗股骨转子间骨折时拉力螺钉导针初次置入股骨颈前倾角偏大的影响。
方法：2014年6月至2016年6月采用髓内钉内固定治疗股骨转子间骨折60例，男27例，女33例；年龄49~88岁，平均75岁。术中侧位像予以股骨颈分区，观测股骨近端髓内钉拉力螺钉导针初次置入时前倾角，统计正常、偏大的发生率，记录影响因素角度指标。
结果：60例患者中，23例导针居股骨颈中央区，前倾角正常；37例导针在股骨颈前区，导致前倾角偏大。单因素分析得到影响前倾角偏大与否的自变量有患肢内收、患肢内旋、臀部抬高及导针水平（P<0.05）；多因素回归分析得到前倾角偏大与患肢内旋、导针水平呈显著相关，其中与导针水平最为相关（P=0.030）。
结论：患肢内旋、导针水平可能影响髓内钉拉力螺钉导针初次置入时股骨颈前倾角，导致其偏大，其中导针水平是主要影响因素。 |
| 【关键词】股骨颈 股骨转子间骨折 骨折固定术,髓内 |
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| Influence of femoral neck area on larger anteversion angle of lag screw guide pin initial placement in proximal femoral intramedullary nail fixation |
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ABSTRACT
Objective: To invstigate the influence of femoral neck area on larger anteversion angle of lag screw guide pin initial placement in proximal femoral intertrochanteric fracture treated with intramedullary nail.
Methods: From June 2014 to June 2016, 60 patients with femoral intertrochanteric fractures were treated with intramedullary nail, including 27 males and 33 females with an average age of 75 years old ranging from 49 to 88 years old. The lateral images of femoral neck were divided into areas during operation. The anteversion angle of lag screw guide pin of proximal femoral nail was observed at the time of initial insertion. The incidence of normal and larger was counted and the angle index of influencing factors was recorded.
Results: Among 60 patients, the screw guide pins of 23 cases were in the central region of the femoral neck and the anteversion angle was normal;screw guide pins of 37 cases were in the front area of the femoral neck, leading to larger anteversion angle. The single factor analysis showed that the independent variables influence factors of larger anteversion were internal collection of the affected limb, internal rotation of the affected limb, hip elevation and screw guide pin level (P<0.05). The multi-factor regression analysis showed that the anteversion angle larger was significantly related to the internal rotation of the affected limb and screw guide pin level, and the screw guide pin level was the most relevant (P=0.030).
Conclusion: The internal rotation of the affected limb and screw guide pin level may affect the anteversion angle of femoral neck when lag screw guide pin initial insertion, cause it to be too large and the screw guide pin level is the main influencing factor. |
| KEY WORDS Femoral neck Femoral intertrochanteric fractures Fracture fixation,internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 魏杰,刘松华,陈志明,徐晓霞,马春雨.股骨颈分区对股骨近端髓内钉拉力螺钉导针初次置入前倾角偏大的影响[J].中国骨伤,2019,32(2):111~115 |
| 英文格式: | WEI Jie,LIU Song-hua,CHEN Zhi-ming,XU Xiao-xia,MA Chun-yu.Influence of femoral neck area on larger anteversion angle of lag screw guide pin initial placement in proximal femoral intramedullary nail fixation[J].zhongguo gu shang / China J Orthop Trauma ,2019,32(2):111~115 |
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