| 股骨颈骨折闭合复位方法的选择策略 |
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Received:July 15, 2022
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| 作者 | Author | 单位 | Unit | E-Mail |
| 朱晓中 |
ZHU Xiao-zhong |
上海交通大学医学院附属第六人民医院骨科, 上海 200233 |
Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200233, China |
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| 朱奕 |
ZHU Yi |
上海交通大学医学院附属第六人民医院骨科, 上海 200233 |
Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200233, China |
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| 梅炯 |
MEI Jiong |
上海交通大学医学院附属第六人民医院骨科, 上海 200233 |
Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200233, China |
meijiong@sjtu.edu.cn |
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| 期刊信息：《中国骨伤》2023年36卷，第3期，第273-278页 |
| DOI：10.12200/j.issn.1003-0034.2023.03.016 |
| 基金项目:国家自然科学基金(编号:12172224) |
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| 对于计划进行内固定治疗的股骨颈骨折患者,骨折端良好的对位是内固定稳定和骨折愈合的重要前提。对有移位股骨颈骨折的复位方法相关文献报告很多,归纳起来不外乎3大类,一是单纯下肢纵向牵引为主,辅以其他如旋转、按压等手法;二是下肢纵向牵引加髋部横向牵引所形成的合力来复位;三是以屈髋垂直牵引为主的复位方法。每种复位方法各有其优势报告,但没有一种方法可以适用所有的骨折移位。本文将文献中的一些经典的复位手法作一简要综述。希望临床医生不要囿于某一复位方法,在临床工作中更应依据股骨颈骨折患者的骨折移位特点,分析损伤机制和骨折移位过程,灵活选用针对性的复位方法,以提高股骨颈骨折闭合复位的成功率。 |
| [关键词]:股骨颈骨折 骨折复位 骨折闭合复位 牵引 手法 |
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| Review of closed reduction techniques for femoral neck fracture |
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| Abstract:For patients with femoral neck fractures who plan to undergo internal fixation,satisfied alignment of fracture ends is an important prerequisite for internal fixation stability and fracture healing. There are many reports on the reduction methods of displaced femoral neck fractures,which can be summarized into three categories:First,the solely longitudinal traction of lower limbs,supplemented by other manipulations such as rotation and compression; Second,the resultant force formed by the longitudinal traction of lower limbs and the lateral traction;the third is accomplished by vertical traction in the axis of femur with hip joint flexed. Each reduction method has its own advantages,but no single method can be applied to all fracture displacement. In this paper,some classical reduction techniques in the literatures are briefly reviewed. It is hoped that clinicians will not be limited to a certain reduction method,they should analyze the injury mechanism and fracture displacement process according to the morphology features and flexibly select targeted reduction methods to improve the success rate of closed reduction of femoral neck fracture. |
| KEYWORDS:Femoral neck fracture Fracture reduction Closed fracture reduction Traction Manipulation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 朱晓中,朱奕,梅炯.股骨颈骨折闭合复位方法的选择策略[J].中国骨伤,2023,36(3):273~278 |
| 英文格式: | ZHU Xiao-zhong,ZHU Yi,MEI Jiong.Review of closed reduction techniques for femoral neck fracture[J].zhongguo gu shang / China J Orthop Trauma ,2023,36(3):273~278 |
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