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《閉合復(fù)位經(jīng)皮空心加壓螺紋釘治療老年股骨頸骨折的預(yù)后及并發(fā)癥.pdf》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在應(yīng)用文檔-天天文庫(kù)。
1、醫(yī)學(xué)2014年4月第25卷第4期MedJChinPAPF．V01．25．N0．4．ADril．2014357閉合復(fù)位經(jīng)皮空心加壓螺紋釘治療老年股骨頸骨折的預(yù)后及并發(fā)癥嚴(yán)懷寧，張曉峰，潘永飛，葉榮，高鋒，段艷偉，文立【摘要】目的探討老年股骨頸骨折患者閉合復(fù)位經(jīng)皮空心螺釘術(shù)后的預(yù)后及并發(fā)癥。方法回顧性分析本院經(jīng)空心加壓螺紋釘治療的老年股骨頸骨折145例，其中GardenI型22例，Ⅱ型55例，Ⅲ型52例，Ⅳ型16例；術(shù)后2年隨訪患者術(shù)后并發(fā)癥，股骨頭壞死或骨折不愈合的情況以及患肢功能。結(jié)果術(shù)后GardenI一Ⅳ型發(fā)生骨折不愈合或者缺血性壞死的發(fā)生率分別為4．5
2、％、3．6％、15．4％、31．3％。術(shù)后并發(fā)癥的發(fā)生率在Garden分型的四型中差異無統(tǒng)計(jì)學(xué)意義。結(jié)論閉合復(fù)位經(jīng)皮空心螺釘術(shù)對(duì)于老年股骨頸骨折患者是一個(gè)有效的方法，特別在GardenI型和GardenⅡ型的患者中應(yīng)是首選治療方法?！娟P(guān)鍵詞】股骨頸骨折；老年患者：閉合復(fù)位；空心螺釘固定術(shù)【中國(guó)圖書分類號(hào)】R473．71AretrospectivestudyofclosereductionpluspercutaneouscannulatedscrewfixationforfemoralneckfracturesinelderlypatientsYANHuai
3、ning，ZHANGXiaofeng，PANyongfei，YERong，GA0Feng，DUANYanwei，andWENLi．DepartmentofOrthopae—dic，NajingHospitalofJiangsuProvincialCorps，ChinesePeople’SArmedPoliceForces，Nanjing210028，China【Abstract】ObjectiveToevaluatetheresultsandcomplicationsoffemoralneckfracturesinelderlypatientstreate
4、dwithclosereductionpluspercutaneouscannulatedscrewfixation．MethodsWeretrospetivelyⅣelystudied145patientsolderthan60yearswhopresentedwithfemoralneckfracturesthatunderwentcannulatedscrewfixationbetween2003and2011．Theresultsof145patientsthathad2-yearfollow·upincludedpostoperativecomp
5、licationsandhipjointfunctionwhichwasevaluatedaccordingtotheHarrisscore．Gardenclassificationwasuseforthepatients，22ofwhomweretypeI，55weretypeI1，52weretype111，16weretypeⅣ．ResultsTheincidencesofnonunionoravascularnecrosiswere4．5％，3．6％，15．4％，and31．3％inthepatientswhowereclassifiedasGar
6、denI，GardenII，Gardenm，andGardenⅣrespectively．TherewerenostatisticaldifferencesintherateofpostepercativeivecomplicationsinthepatientswithGardenclassification．TherateofpostepercativeivecomplicationsinthepatientswithASA111washigherthanthsseinASAIandASAⅡ．ConclusionsClosereductionplusp
7、ercutaneouscannulatedscrewfixationiSaneffectiveivemethodfortreatingfemoralneckfracturesinthepatientsmorethan60tearsoldandisapriormethodinthepatientsofGardenIandGardenII押pes．【Keywords】femoralneckfracture；elderlypatients；closereduction；cannulatedscrewfixation股骨頸骨折是老年患者常見的骨折，常常由于率。但是
8、，國(guó)內(nèi)外均有研究報(bào)道，老年股骨頸骨折行低能量的損傷導(dǎo)致?。盡管外科
