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題 名 | Operative Treatment of Displaced Stress Fracture of the Distal Femur=遠端股骨幹疲乏性移位骨折之手術療法 |
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作 者 | 梁鉑鈴; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 25:3 民81.05-06 |
頁 次 | 頁1139-1146 |
分類號 | 416.26 |
關鍵詞 | 遠端股骨幹疲乏性移位骨折; 手術療法; |
語 文 | 英文(English) |
中文摘要 | 疲乏性遠端股骨幹骨折經常發生位移,保守療法不論以牽引或石膏固定,均不易達到解剖上之完全復位,長期的肢體固定更帶給患者諸多不便。自1983年7月至1988年6月,共有73例遠端股骨幹疲乏性移位骨折在三軍總醫院手術治療。本文針對其中55例歷經平均三年又四個月的追踪研究後,提出報告。依骨折形態分類;橫斷性骨折最多(41例),佔24%:其次短斜樣骨折(8例)佔14%:另外6例(佔12%)為粉碎性骨折。值得注意的,其中40%(22例)在骨折之初,便可在骨折斷裂處附近發現新生的骨痴。在此研究案例中,有39例在骨折前便感覺到大腿或膝關節附近酸痛。超過半數(53%)的患者在酸痛一週內便發生骨折。手術治療方法包括:22例以遠端股骨專用鋼板固定;8例以A-Q角度式鋼扳固定;另外10例使用Brooker-Wills骨髓內鋼釘;15例使用股骨骨髓內鎖定式鋼釘。術後曾有兩例發生表淺性傷口感染。另外5例追踪檢查時其膝關飾運動角度有輕度受限。所有手術治療的骨折均已癒合。癒合的時間平均為3、4個月,與內固定的選擇無明顯差異。因此,手術療法對於遠端股骨幹疲乏性移位骨折,是一種效果良好的選擇。 |
英文摘要 | A prospective study was performed of the fifty-five patients who had the stress fracture of the distal femur and had been treated by operative methods. Review of the type of fracture revealed that transverse fracture in 74% (N=41), short oblique in 14% (N=8), and comminuted fractures in 12% (N=6) . Initial callus formation around the fracture fragments was noted in about 40% (N=22) of our patients. Thirty-nine patients had the symptoms of thigh pain or knee pain before the complete disruption of the distal femur. 53% of these symptomatic patients had the symptoms just one week before stress fracture occurred. Twenty-two fractures were fixed by anatomic distal femoral plate, eight by A-O angular blade plate, ten by Brooker-Wills nail, and fifteen by femoral interlocking nail. Complication of the operations included two superficial wound infection and mild restriction of the range of motion of the knee joint in five patients. The average time to union of the fracture was 3.4 months (range, two to five months). All of the fractures healed within 2 to 5 months. |
本系統中英文摘要資訊取自各篇刊載內容。