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相關文獻
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頁籤選單縮合
題 名 | Subtrochanteric Valgus Osteotomy for Nonunion of Proximal Femoral Fractures=轉子下外翻切骨術治療股骨近端骨折不癒合 |
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作 者 | 陳金恩; 王俊聞; 王清貞; | 書刊名 | 輔仁醫學期刊 |
卷 期 | 5:1 2007.03[民96.03] |
頁 次 | 頁17-26 |
分類號 | 416.26 |
關鍵詞 | 股骨近端骨折; 轉子間骨折; 不癒合; 轉子下切骨術; Proximal femoral fracture; Intertrochanteric fracture; Nonunion; Subtrochanteric osteolomy; |
語 文 | 英文(English) |
中文摘要 | 背景和目的:轉子下外翻切骨術在治療股骨近端骨折不癒合時改變了骨折處的載力。本文就是研究以轉子下外翻切骨術來治療股骨近端骨折不癒合的結果。方法:收集12位股骨近端骨折不癒合的病人,以轉子下外翻切骨術來使原先骨折處的剪力變為壓縮力以促進骨折癒合,同時矯正長短腳。切骨後以動力性髖鋼板鋼釘來固定,同時植骨於切骨處。從初次骨折到接受切骨術平均時間為13.5個月,而切骨術後平均追蹤時間為40個月。結果:所有的病人在術後均得到骨折癒合,平均癒合時間為5.2個月。下肢平約延長了1.72公分(範圍;0.7至4公分),股骨頸-股骨幹角度平約矯正了28度(範圍;15至40度),沒有因切骨術而產生合併症。結論:轉子下外翻切骨術用來治療股骨近端骨折不癒合是有效的方法,尤其當病人有輕微的長短腳時。大部分的病人可得到骨折癒合、長短腳矯正、以及功能上的恢復。 |
英文摘要 | Background and Purpose: A subtrochanteric valgus osteotomy for treating a nonunion of a proximal femoral fracture alters the loading forces at the fracture site. This study investigated the results of nonunion of proximal femoral fractures treated with a subtrochanteric valgus osteotomy. Methods: Twelve patients with nonunion of a proximal femoral fracture were treated with a subtrochanteric valgus osteotomy to promote bone healing by changing the shearing force into a compressive force at the fracture site and correcting the leg length discrepancy. The osteotomy was fixed with a dynamic hip screw, and a bone graft was performed at the osteotomy site. The average time from the fracture to the osteotomy was 13.5 months, and the average follow up was 40 months. Results: Bony union was achieved in all patients at an average of 5.2 months postoperatively. The average lengthening of the leg was 17.2 (range, 0.7-4) cm. The average correction of the neck shaft angle was 28° (range, 15°-40°). There were no complications related to the osteotomy. Conclusions: A subtrochanteric valgus osteotomy is effective in treating a nonunion of proximal femoral fractures, especially in patients with mild leg length discrepancies. Most patients can achieve bony healing of the fracture, correction of the leg length discrepancy, and a functional recovery. |
本系統中英文摘要資訊取自各篇刊載內容。