Unstable femoral neck fractures in young adults: Treatment with the AO 130-degree blade plate
Unstable femoral neck fractures in young adults: Treatment with the AO 130-degree blade plate
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DOI：
10.1097/00005131-199805000-00003
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发表时间：
1998-05-01
影响因子：
2.3
通讯作者：
Stappaerts, KH
中科院分区：
文献类型：
--
作者：
Broos, PLO;Vercruysse, R;Stappaerts, KH
目的：探讨AO 130度钢板治疗不稳定股骨颈骨折的临床效果。设计：1980年至1994年间，连续34例年龄小于50岁的不稳定股骨颈囊内骨折患者（Garden III-IV型）接受内固定治疗。单位：比利时鲁汶Gasthuisberg大学医院。干预：使用AO 130度钢板，带一颗6.5毫米的防旋转松质拉力螺钉。结果：优19例（63.3%），良7例（23.3%），一般3例（10%），差1例（3.3%）。1例延迟愈合，2例无血管坏死。两个植入物穿透了软骨下骨。结论：AO 130度钢板的稳定固定避免了对股骨头附近血液供应的损害，并保证了年轻人不稳定股骨颈囊内骨折的良好结局。
Objective: To evaluate the clinical outcome of the treatment of unstable femoral neck fractures using the AO 130-degree blade plate.Design: Between 1980 and 1994, thirty-four consecutive patients younger than age fifty years with an unstable intracapsular femoral neck fracture (Garden Types III-IV) were treated with internal fixation.Setting: University Hospital Gasthuisberg, Leuven, Belgium.Intervention: The AO 130-degree blade plate with an antirotation, 6.5-millimeter, partially threaded cancellous lag screw was used.Results: Nineteen (63.3 percent) patients had an excellent result, seven (23.3 percent) had a good result, three (10 percent) had a fair result, and one (3.3 percent) had a poor result. Delayed union was observed in one case, and avascular necrosis was observed in two cases. Two implants perforated the subchondral bone.Conclusion: Stable fixation with the AO 130-degree blade plate avoids damage to the adjacent blood supply to the femoral head and appears to guarantee a good final outcome of unstable intracapsular femoral neck fractures in young adults.