| 外固定器治疗股骨粗隆间骨折并发症分析 |
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Received:April 04, 2000 Revised:June 20, 2000
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| 期刊信息：《中国骨伤》2001年14卷，第7期，第396-398页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨外固定器治疗股骨粗隆间骨折并发症的发生原因及防治办法。
方法：回顾我院1987～1999年间使用力臂式外固定器治疗的357例患者,平均年龄75岁,并进行平均12个月的随访。
结果：根据临床症状、体征及X线片表现评估疗效：优285例,良51例,可7例,差3例。近端固定针并发症：针道感染40例,拔出10例,切割股骨头9例,穿透股骨头5例,骨髓炎3例。
结论：外固定器治疗股骨粗隆间骨折疗效显着。固定针的并发症与术者对手术适应症及外固定器穿针技术的掌握有关。 |
| [关键词]:骨折固定术 股骨骨折 手术后并发症 |
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| Analysis of complications resulted from the use of external fixation apparatus in the treatment of intertrochanteric fracture of the femur |
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Abstract:
Objective:To analyse the causes and methods of prevention of the complications during treatment of intertrochanteric fractures of the femur using external fixation apparatus
Methods:357 cases of intertrochanteric fracture of the femur treated with external fixation apparatus were reviewed.The average age of the patients was 75.The followed up period lasted for an average of 12 months.
Results: The curative effects were evaluated according to clinical symptoms,physical signs and X ray findings:excellent results were obtained in 285 cases,good in 51,fair in 7 and poor in 3.Proximal fixation pin canal infection occurred in 40 cases,pin loosening and falling off in 10,femoral head cut in 9,femoral head penetrated in 5 and osteomyelitis in 3.
Conclusion:External fixation apparatus is a good device for the treatment of femoral intertrochanteric fracture.The occurrence of the complication is related to the case selection,the determination of indication of surgical treatment and technique of pin insertion of external fixation apparatus. |
| KEYWORDS:Fracture fixation Femoral fracture Postoperative complications |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 孔令英,刘瑞波.外固定器治疗股骨粗隆间骨折并发症分析[J].中国骨伤,2001,14(7):396~398 |
| 英文格式: | KONG Ling ying,LIU Rui bo.Analysis of complications resulted from the use of external fixation apparatus in the treatment of intertrochanteric fracture of the femur[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(7):396~398 |
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