查詢結果分析
來源資料
相關文獻
- Complications in Surgical Treatment of Undisplaced Femoral Neck Fracture
- Simultaneous Bilateral Fracture of the Femoral Neck after Repeated Kneeling: A Case Report
- 以股骨頸骨折為主要症候的原發性副甲狀腺機能過高症併發生非毒性多發結節甲狀腺瘤--病例報告
- Risk Factors of Knowles Pinning for Femoral Neck Fracture
- Subtrochanteric Valgus Osteotomy for Neglected Femoral Neck Fracture Complicated by Nonunion and Osteonecrosis--A Case Report
- Spontaneous Femoral Neck Fracture Complicating a Healed Subtrochanteric Fracture--A Case Report
- Subcapital Femoral Neck Fractures Following Internal Fixation for Intertrochanteric Fractures
- 老年髖部骨折
- Bilateral Femoral Neck Fractures in Transient Osteoporosis of Pregnancy--A Case Report
- 同側股骨幹合併股骨頸骨折之治療
頁籤選單縮合
題 名 | Complications in Surgical Treatment of Undisplaced Femoral Neck Fracture=手術治療未移位股骨頸骨折之合併症 |
---|---|
作 者 | 李永恆; 邱方遙; 羅惠熙; | 書刊名 | 中華醫學雜誌 |
卷 期 | 58:1 1996.07[民85.07] |
頁 次 | 頁24-28 |
分類號 | 416.26 |
關鍵詞 | 股骨頸骨折; 經皮式鋼釘內固定; Femoral neck fracture; Percutaneous knowles' pinning; |
語 文 | 英文(English) |
中文摘要 | 背景 雖然以經皮式鋼釘治療未移位股骨頸骨折已是近年來被廣為接 受的方法,但仍有若干合併症的產生。而目前卻少有文獻詳細探討此些合併症 以及其治療的方法。 方法 從1983年到1989年,我們共收集了182例以穿皮式鋼釘治療之未移位 股骨頸骨折的患者。平均接受手術的年齡是67歲。平均追蹤了102個月。我們 以年齡及骨質密度的論點加以評估討論。 結果 平均骨折癒合的時間為20個月。其中手術結果良好者佔85.8%,中等 者佔3.8%,而結果不良者佔10.4%。在結果不良的病患中,大多為年老及骨質 疏鬆的患者。我們有17.6%的合併症。骨折未癒合,鋼釘移位或斷裂與年老或 骨質疏鬆有關;而缺血性股骨頭壞死與上述原因無關。 結論 雖然經皮式鋼釘內固定術是一種簡單、安全、經濟及相當有效的方法來 治療未移位股骨頸骨折。但我們對於不合作、年老或骨質疏鬆的患者,我們仍 應更多加小心,以免合併症的產生。 |
英文摘要 | Background. Percutaneous Knowles' pinning is a well accepted treatment of undisplaced femoral neck fracture, but there are some complications that have seldom been discussed. Methods. One hundred and eighty two patients with undisplaced femoral neck fractures, at a mean age of 67 years, were treaded by percutaneous Knowles' pinning between 1983 to 1989, and followed for an average of 102 months. The clinical results and complications were evaluated. The data were collected on the basis of age and bone density. Student's t-test was used to evaluate the significance of the results. Results. The mean union time was 20 weeks. In all the patients, 86.8% had good results, 3.8% patients had acceptable results and 10.4% patients had poor results. Old age ( >= 65 years) and osteoporosis (Singh index <= 3) were two factors of the poor result. Thirty-two cases (17.6%) developed complications. The incidence of nonunion or implant problems was apparently higher in the older or osteoporosis group, but avascular necrosis of femoral head correlated little with old age or osteoporosis. Conclusions. Although percutaneous Knowles' pinning is simple, safe, economic and reasonably effective for the treatment of undisplaced femoral neck fractures, we should pay more attention to the uncooperative, old, and osteoporotic patients. |
本系統中英文摘要資訊取自各篇刊載內容。