| Richards钉手术治疗股骨粗隆间骨折 |
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投稿时间：1997-12-01 修订日期：1998-05-12
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| 期刊信息：《中国骨伤》1999年，第12卷，第5期，第11-13页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的:报告在不使用或有限使用C臂X线监视下应用Richards钉内固定治疗股骨粗隆间骨折的经验与教训,并对本方法的治疗结果进行评估。
方法:30例股骨粗隆间骨折均采用“指触定位”法行Richards钉内固定手术。对不稳定型骨折应用“螺钉去压”等方法加强固定牢度。
结果:稳定型骨折负重时间为术后1周,不稳定型骨折为术后3周。随访5～28月,平均愈合时间10周。关节功能优良27例(90%)。
结论:该方法具有操作方便、复位准确、固定可靠、X线伤害小、允许早期负重、功能恢复快、并发症少等优点。手术操作中应强调骨折复位的重要性和避免使用电动绞刀扩孔。 |
| 【关键词】Richards钉 股骨粗隆间骨折 |
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| Treatment of Intertrochanteric Fracture with Richards Nailing |
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ABSTRACT
Objective:To report the experience in treatment of intertrochanteric fracture with Richards nailing under X ray or not and evaluate their therapeutic results.
Methods: 30 cases of intertrochanteric fracture were fixed internally with Richards nailing according fo “finger touch feeling orientation”.For instable fractures,the “decompression screw” or other methods were applied to make reliable fixation.
Result:s The weight loading for stable fracture could begin one week after operation and that for instable fracture three weeks after operation.By following-up for 5-28 months,the fracture healing period was 10 weeks in average.The function of hip joint was excellent in 27 cases (90%).
Conclusion: There are distinguished advantages in This method,such as simple application,reliable fixation,early weight bearing quick recovery of function,and only few complications and less X-ray damage.The importance of fracture reduction and the avoidance from electrical drilling in operation are emphasized. |
| KEY WORDS Richards nailing Intertrochanteric fracture |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 成羿,吕建华,韩勇,周辉,倪飞,韩根勇.Richards钉手术治疗股骨粗隆间骨折[J].中国骨伤,1999,12(5):11~13 |
| 英文格式: | Cheng Yi,Lu Jianhua,Han Yong.Treatment of Intertrochanteric Fracture with Richards Nailing[J].zhongguo gu shang / China J Orthop Trauma ,1999,12(5):11~13 |
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