Management of displaced femoral neck fractures in young adults (a group at risk)
Management of displaced femoral neck fractures in young adults (a group at risk)
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DOI：
10.1016/s0020-1383(97)00184-8
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发表时间：
1998-04-01
影响因子：
2.5
通讯作者：
Dhaon, BK
中科院分区：
文献类型：
--
作者：
Gautam, VK;Anand, S;Dhaon, BK
25例青壮年股骨颈骨折患者，年龄15~50岁，采用Watson-Jones入路在普通手术台上进行手术。骨折部位经ART前囊切开复位，3枚松质骨螺钉内固定。定期评估患者的临床和放射学证据是否有骨不连和缺血性坏死。平均随访32个月。1例(4%)出现骨不连，3例(12%)出现缺血性坏死。将结果与现有发表的一系列类似骨折进行比较，这些骨折采用闭合和切开复位技术治疗。结果表明，青壮年股骨颈骨折一期切开复位内固定可作为首选治疗方法。(C)1998爱思唯尔科学有限公司。保留所有权利。
25 young adults (age 15-50 years) with femoral neck fractures were operated on an ordinary operating table using a Watson-Jones approach. Open reduction of the fracture site through art anterior capsular incision was performed ar rd fixation with three cancellous screws was done. Patients were regularly assessed for clinical and radiological evidence of non-union and avascular necrosis. Average follow-up was 32 months. Non-union was seen in one case (4 per cent) and evidence of avascular necrosis was seen in three cases (12 per cent). The results were compared with available published series of similar fractures, treated by closed and open reduction technique. The comparison showed that in young adults, primary open reduction and internal fixation of femoral neck fractures can be recommended as the treatment of choice. (C) 1998 Elsevier Science Ltd. All rights reserved.