Management of femoral neck fractures in young adults.
Management of femoral neck fractures in young adults.
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DOI：
10.4103/0019-5413.38574
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发表时间：
2008-01
影响因子：
1
通讯作者：
Swiontkowski MF
中科院分区：
文献类型：
--
作者：
Ly TV;Swiontkowski MF
股骨颈骨折在年轻人中并不常见，通常是高能量创伤的结果。它们与股骨头坏死和骨不连的发生率较高有关。多种因素可以在预防这些破坏性并发症方面发挥重要作用，并有助于获得良好的结果。虽然达到解剖复位和稳定的内固定是必要的，其他治疗变量，如手术时间，囊切开术的作用和固定方法仍然存在争议。建议采用切开复位、Watson-Jones暴露内固定术。可使用三枚空心或非空心松质骨螺钉实现连续固定。股骨颈骨折的关节囊切开术仍然是一个有争议的问题，其实践因创伤项目、地区和国家而异。在有结论性数据（即前瞻性和对照）之前，我们建议进行晶状体囊切开术。现有数据无法确定该骨折是否应紧急手术，紧急手术或可等到第二天。在没有确凿的数据之前，我们建议应紧急进行手术。早期诊断、早期手术、解剖复位、关节囊减压、稳定内固定是治疗股骨颈骨折的关键。
Femoral neck fractures in young adults are uncommon and often the result of high-energy trauma. They are associated with higher incidences of femoral head osteonecrosis and nonunion. Multiple factors can play a significant role in preventing these devastating complications and contribute to a good outcome. While achieving an anatomic reduction and stable internal fixation are imperative, other treatment variables, such as time to surgery, the role of capsulotomy and the fixation methods remain debatable. Open reduction and internal fixation through a Watson-Jones exposure is the recommended approach. Definitive fixation can be accomplished with three cannulated or noncannulated cancellous screws. Capsulotomy in femoral neck fractures remains a controversial issue and the practice varies by trauma program, region and country. Until there is conclusive data (i.e. prospective and controlled) we recommend performing a capsulotomy. The data available is inconclusive on whether this fracture should be operated emergently, urgently or can wait until the next day. Until there is conclusive data available, we recommend that surgery should be done on an urgent basis. The key factors in treating femoral neck fractures should include early diagnosis, early surgery, anatomic reduction, capsular decompression and stable internal fixation.
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DOI：
10.1302/0301-620x.70b2.3279041
发表时间：
1988-03-01
影响因子：
--
作者：
CRAWFURD, EJP;EMERY, RJH;ANDREWS, BG
通讯作者：
ANDREWS, BG
DOI：
10.1016/s0020-1383(97)00184-8
发表时间：
1998-04-01
影响因子：
2.5
作者：
Gautam, VK;Anand, S;Dhaon, BK
通讯作者：
Dhaon, BK
影响因子：
2.3
作者：
Broos, PLO;Vercruysse, R;Stappaerts, KH
通讯作者：
Stappaerts, KH
DOI：
10.3109/17453679608995603
发表时间：
1996-02-01
期刊：
ACTA ORTHOPAEDICA SCANDINAVICA
影响因子：
--
作者：
Alho, A
通讯作者：
Alho, A
DOI：
10.1302/0301-620x.42b4.794
发表时间：
1960-01-01
影响因子：
--
作者：
BRODETTI, A
通讯作者：
BRODETTI, A