SUBTROCHANTERIC FRACTURE AFTER FIXATION OF SLIPPED CAPITAL FEMORAL EPIPHYSIS - A COMPLICATION OF UNUSED DRILL HOLES
SUBTROCHANTERIC FRACTURE AFTER FIXATION OF SLIPPED CAPITAL FEMORAL EPIPHYSIS - A COMPLICATION OF UNUSED DRILL HOLES
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DOI：
10.1097/01241398-199409000-00014
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发表时间：
1994-09-01
影响因子：
1.7
通讯作者：
WHITMER, G
中科院分区：
文献类型：
--
作者：
CANALE, ST;AZAR, F;WHITMER, G
股骨粗隆下骨折在原位固定滑脱的股骨头骨骺后很少被报道，在我们的10年中只有1.4%的患者发生了这种情况。然而，随着这项技术的使用越来越频繁，这种并发症的发生率可能会上升。所有四例股骨粗隆下骨折都是通过未使用的钻孔发生的，避免额外的螺纹孔似乎是预防术后股骨粗隆下骨折的最好方法。一旦发生股骨粗隆下骨折，建议立即切开复位，用加压髋螺钉内固定。
Subtrochanteric fracture of the femur has been infrequently reported after in situ fixation of slipped capital femoral epiphysis, and this occurred in only 1.4% of our patients over a 10-year period. As this technique is used more frequently, however, the incidence of this complication is likely to rise. All four subtrochanteric fractures occurred through unused drill holes, and avoiding extraneous screw holes seems to be the best way to prevent postoperative subtrochanteric fracture. Once subtrochanteric fracture occurs, immediate open reduction and internal fixation with a compression hip screw device is the recommended treatment.