CAJ | 학술논문

目的探讨股骨干骨折合并同侧股骨颈骨折的临床特点、漏诊原因、临床疗效.方法22例同侧股骨干合并股骨颈骨折患者中6例采用空心钉加 AO 钢板固定,5例采用动力髋螺钉(DHS)装置固定,11例采用股骨重建钉固定.结果股骨干骨折愈合时间为6个月~16个月,股骨颈骨折愈合时间为12个月~24个月;有3例股骨干中下段骨折钢板断裂延迟愈合;股骨颈骨折Ⅰ期愈合15例,股骨头缺血坏死7例,按 Friedman评定标准优良15例,差7例(漏诊 5例).结论股骨干骨折患者应摄髋臼 X 线片,早期确诊,早期行手术治疗.
목적탐토고골간골절합병동측고골경골절적림상특점、루진원인、림상료효.방법22례동측고골간합병고골경골절환자중6례채용공심정가 AO 강판고정,5례채용동력관라정(DHS)장치고정,11례채용고골중건정고정.결과고골간골절유합시간위6개월~16개월,고골경골절유합시간위12개월~24개월;유3례고골간중하단골절강판단렬연지유합;고골경골절Ⅰ기유합15례,고골두결혈배사7례,안 Friedman평정표준우량15례,차7례(루진 5례).결론고골간골절환자응섭관구 X 선편,조기학진,조기행수술치료.
Objective To explore clinical characteristics,misdiagnos reasons,clinical curative effect of the femoral fracture with lateral femoral neck fracture. Methods 22 cases of ipsilateral femoral with lateral femoral neck fracture treatment, 6 patients w ith hollow nail and AO plate fixed, 5 cases of DHS device fixed, 11 cases of femoral reconstruction nail fixed. Results femoral fracture healing time 6-16 months, femoral neck fracture healing 12~24 months. 3 cases of femoral fractures of lower section steel plate fracture delayed healing; 15 cases femoral neck fracture primary healing ,7 patients ischemic necrosis of femoral head ,according to Friedman evaluation criteria good in 15 cases, seven patients (misdiagnosis 5 cases).Conclusion femoral fracture with femoral neck fracture patients should be taken acetabulum X ray film,early diagnosis,early surgical treatment.