84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]陳芒芒,林勝磊,黃力鵬.股骨頸皮質(zhì)碎片面積和移位距離與中青年股骨頸骨折空心螺釘內(nèi)固定術(shù)后并發(fā)癥的關(guān)系研究[J].中醫(yī)正骨,2023,35(10):12-15.
　CHEN Mangmang,LIN Shenglei,HUANG Lipeng.Study on the relationship between area and displacement distance of femoral neck cortical fragments and complications resulting from hollow screw internal fixation in young and middle-aged patients with femoral neck fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2023,35(10):12-15.
點(diǎn)擊復(fù)制

股骨頸皮質(zhì)碎片面積和移位距離與中青年股骨頸骨折空心螺釘內(nèi)固定術(shù)后并發(fā)癥的關(guān)系研究()
分享到：

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期數(shù):
2023年10期
頁碼:
12-15
欄目:
臨床研究
出版日期:
2023-10-20

文章信息/Info

Title:
Study on the relationship between area and displacement distance of femoral neck cortical fragments and complications resulting from hollow screw internal fixation in young and middle-aged patients with femoral neck fractures
作者:
陳芒芒; 林勝磊; 黃力鵬
溫州市中心醫(yī)院,浙江 溫州 325000
Author(s):
CHEN Mangmang; LIN Shenglei; HUANG Lipeng
Wenzhou Central Hospital,Wenzhou 325000,Zhejiang,China
關(guān)鍵詞:
股骨頸骨折;  骨折; 粉碎性;  骨折固定術(shù); 內(nèi);  股骨頭壞死;  骨折; 不愈合
Keywords:
femoral neck fractures;  fractures; comminuted;  fracture fixation; internal;  femur head necrosis;  fractures; ununited
摘要:
目的:探討股骨頸皮質(zhì)碎片面積和移位距離與中青年股骨頸骨折空心螺釘內(nèi)固定術(shù)后并發(fā)癥的關(guān)系。方法:分析2009年1月至2021年1月采用空心螺釘內(nèi)固定術(shù)治療的合并股骨頸皮質(zhì)粉碎的中青年股骨頸骨折患者的病例資料,統(tǒng)計(jì)患者股骨頭壞死和骨折不愈合的發(fā)生情況,并基于術(shù)前CT測定患者的股骨頸皮質(zhì)碎片面積和移位距離。股骨頸皮質(zhì)碎片面積≤0.25 cm2、移位距離≤0.5 cm者納入A組,皮質(zhì)碎片面積≤0.25 cm2、移位距離>0.5 cm者納入B組,皮質(zhì)碎片面積>0.25 cm2、移位距離≤0.5 cm者納入C組,皮質(zhì)碎片面積>0.25 cm2、移位距離>0.5 cm者納入D組。分析股骨頸皮質(zhì)碎片面積和移位距離與股骨頭壞死和骨折不愈合發(fā)生率的關(guān)系。結(jié)果:共納入348例患者,A組160例、B組71例、C組82例、D組35例。34例患者發(fā)生股骨頭壞死,其中A組6例、B組9例、C組9例、D組10例; 25例患者發(fā)生骨折不愈合,A組3例、B組6例、C組7例、D組9例。A組股骨頭壞死發(fā)生率為3.8%[95%CI(1.3%,8.0%)]、骨折不愈合發(fā)生率為1.9%[95%CI(0.4%,5.4%)],B組股骨頭壞死發(fā)生率為12.7%[95%CI(6.0%,22.7%)]、骨折不愈合發(fā)生率為8.5%[95%CI(3.2%,17.5%)],C組股骨頭壞死發(fā)生率為11.0%[95%CI(5.1%,19.8%)]、骨折不愈合發(fā)生率為8.5%[95%CI(3.5%,16.8%)],D組股骨頭壞死發(fā)生率為28.6%[95%CI(14.6%,46.3%)]、骨折不愈合發(fā)生率為25.7%[95%CI(12.4%,43.3%)]。結(jié)論:中青年股骨頸骨折患者的股骨頸皮質(zhì)碎片面積>0.25 cm2且移位距離>0.5 cm時(shí),采用空心螺釘內(nèi)固定術(shù)治療后股骨頭壞死和骨折不愈合的發(fā)生率明顯增高。
Abstract:
Objective:To explore the relationship between area and displacement distance of femoral neck cortical fragments and complications resulting from hollow screw internal fixation in young and middle-aged patients with femoral neck fractures(FNFs).Methods:The clinical data of young and middle-aged patients who underwent hollow screw internal fixation for treatment of FNFs combined with femoral neck cortical comminution from January 2009 to January 2021 were extracted and analyzed,followed by statistics on the incidence rates of femur head necrosis(FHN)and fracture nonunion.Furthermore,the area and displacement distance of femoral neck cortical fragments were measured on the CT films taken before the procedure.The patients with femoral neck cortical fragments having an area of≤0.25 cm(2)and displacement distance of≤0.5 cm were assigned into group A,the ones with femoral neck cortical fragments having an area of≤0.25 cm(2)and displacement distance of>0.5 cm into group B,the ones with femoral neck cortical fragments having an area of>0.25 cm(2)and displacement distance of≤0.5 cm into group C,and the ones with femoral neck cortical fragments having an area of>0.25 cm(2)and displacement distance of>0.5 cm into group D.The relationship between the area and displacement distance of femoral neck cortical fragments and the incidence rates of FHN and fracture nonunion was analyzed.Results:Three hundred and forty-eight patients were included in the final analysis,160 patients in group A,71 ones in group B,82 ones in group C,and 35 ones in group D.Thirty-four patients experienced FHN,6 cases in group A,9 cases in group B,9 cases in group C,and 10 cases in group D.Additionally,the fracture nonunion was presented in 25 patients,3 cases in group A,6 cases in group B,7 cases in group C,and 9 cases in group D.The incidence rates of FHN and fracture nonunion were 3.8%(95%CI(1.3%,8.0%))and 1.9%(95%CI(0.4%,5.4%))in group A,12.7%(95%CI(6.0%,22.7%))and 8.5%(95%CI(3.2%,17.5%))in group B,11.0%(95%CI(5.1%,19.8%))and 8.5%(95%CI(3.5%,16.8%))in group C,28.6%(95%CI(14.6%,46.3%))and 25.7%(95%CI(12.4%,43.3%))in group D respectively.Conclusion:The incidence rates of FHN and fracture nonunion following hollow screw internal fixation will significantly increase when the femoral neck cortical fragments have an area of>0.25 cm(2)and displacement distance of>0.5 cm in young and middle-aged patients with FNFs.

參考文獻(xiàn)/References:

[1] PANTELI M,RODHAM P,GIANNOUDIS P V.Biomechanical rationale for implant choices in femoral neck fracture fixation in the non-elderly[J].Injury,2015,46(3):445-452.
[2] RAWALL S,BALI K,UPENDRA B,et al.Displaced femoral neck fractures in the young:significance of posterior comminution and raised intracapsular pressure[J].Arch Orthop Trauma Surg,2012,132(1):73-79.
[3] GARDEN R S.Malreduction and avascular necrosis in subcapital fractures of the femur[J].J Bone Joint Surg Br,1971,53(2):183-197.
[4] 中國醫(yī)師協(xié)會骨科醫(yī)師分會骨循環(huán)與骨壞死專業(yè)委員會,中華醫(yī)學(xué)會骨科分會骨顯微修復(fù)學(xué)組,國際骨循環(huán)學(xué)會中國區(qū).中國成人股骨頭壞死臨床診療指南(2020)[J].中華骨科雜志,2020,40(20):1365-1376.
[5] ZHANG Y L,ZHANG W,ZHANG C Q.A new angle and its relationship with early fixation failure of femoral neck fractures treated with three cannulated compression screws[J].Orthop Traumatol Surg Res,2017,103(2):229-234.
[6] 中華醫(yī)學(xué)會骨科學(xué)分會創(chuàng)傷骨科學(xué)組,中國醫(yī)師協(xié)會骨科醫(yī)師分會創(chuàng)傷專家工作委員會.成人股骨頸骨折診治指南[J].中華創(chuàng)傷骨科雜志,2018,20(11):921-928.
[7] SUNDKVIST J,BRÜGGEMAN A,SAYED-NOOR A,et al.Epidemiology,classification,treatment,and mortality of adult femoral neck and basicervical fractures:an observational study of 40,049 fractures from the Swedish fracture register[J].J Orthop Surg Res,2021,16(1):561.
[8] 莊至坤,許志慶,郭金花,等.中青年股骨頸骨折內(nèi)固定術(shù)后股骨頭壞死的相關(guān)因素[J].中國矯形外科雜志,2018,26(22):2044-2049.
[9] XU D F,BI F G,MA C Y,et al.A systematic review of undisplaced femoral neck fracture treatments for patients over 65 years of age,with a focus on union rates and avascular necrosis[J].J Orthop Surg Res,2017,12(1):28.
[10] PAUYO T,DRAGER J,ALBERS A,et al.Management of femoral neck fractures in the young patient:a critical analysis review[J].World J Orthop,2014,5(3):204-217.
[11] MADHU T S,AKULA M,SCOTT B W,et al.Treatment of developmental dislocation of hip:does changing the hip abduction angle in the hip spica affect the rate of avascular necrosis of the femoral head?[J].J Pediatr Orthop B,2013,22(3):184-188.
[12] 張立志,高杰,張志成,等.人工髖關(guān)節(jié)置換和空心釘內(nèi)固定治療高齡患者股骨頸骨折的臨床療效對比[J].中國骨傷,2018,31(2):103-110.
[13] MEDDA S,SNOAP T,CARROLL E A.Treatment of young femoral neck fractures[J].J Orthop Trauma,2019,33(Suppl 1):S1-S6.
[14] PAUYO T,DRAGER J,ALBERS A,et al.Management of femoral neck fractures in the young patient:a critical analysis review[J].World J Orthop,2014,5(3):204-217.
[15] KHOO C,HASEEB A,AJIT SINGH V.Cannulated screw fixation for femoral neck fracture:a 5-year experience in a single institution[J].Malays Orthop J,2014,8(2):14-21.
[16] 王雪兵,李力更,吳志新,等.股骨干骨折交鎖髓內(nèi)釘內(nèi)固定移位骨塊對骨折愈合的影響[J].創(chuàng)傷外科雜志,2017,19(8):574-577.

相似文獻(xiàn)/References:

[1]江濤,江林,史俊德,等.動氣針法在踝關(guān)節(jié)骨折術(shù)后中后期康復(fù)中的應(yīng)用[J].中醫(yī)正骨,2015,27(11):20.
　JIANG Tao,JIANG Lin,SHI Junde,et al.Application of Dongqi acupuncture(動氣針法)to postoperative rehabilitation in the middle-late period in patients with ankle joint fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(10):20.
[2]許兵,葉小雨,王蕭楓,等.小管徑經(jīng)皮椎體后凸成形術(shù)治療 骨質(zhì)疏松性椎體重度壓縮骨折[J].中醫(yī)正骨,2015,27(11):29.
[3]王 強(qiáng).脛腓下聯(lián)合骨牽引配合手法整復(fù)小夾板外固定治療 兒童閉合移位性股骨干骨折[J].中醫(yī)正骨,2015,27(10):15.
[4]全先輝,萬春友,劉磊,等.Taylor空間支架外固定治療脛腓骨開放性骨折[J].中醫(yī)正骨,2015,27(10):30.
[5]袁偉,周曉莉.T形掌指骨微型鋼板內(nèi)固定治療鎖骨近端骨折[J].中醫(yī)正骨,2015,27(10):47.
[6]白晨平.微型鋼板內(nèi)固定治療掌指骨骨折[J].中醫(yī)正骨,2015,27(08):26.
[7]劉震,胡志國,付偉.抖牽旋按復(fù)位結(jié)合鋼針撬撥復(fù)位空心釘內(nèi)固定治療 難復(fù)性股骨頸骨折[J].中醫(yī)正骨,2015,27(08):28.
[8]何 濤.帶尾孔髕骨針聯(lián)合纜索內(nèi)固定系統(tǒng)治療閉合性髕骨骨折[J].中醫(yī)正骨,2015,27(08):41.
[9]朱彥昭,申成春,蔣麗娜,等.早期手術(shù)修復(fù)踝關(guān)節(jié)骨折合并的三角韌帶完全斷裂[J].中醫(yī)正骨,2015,27(08):46.
[10]董正超,姚新苗.髕骨骨折的分型及內(nèi)固定治療進(jìn)展[J].中醫(yī)正骨,2015,27(08):58.
[11]陳武林,阮成群.縫匠肌肌蒂髂骨骨瓣移植聯(lián)合股骨近端外側(cè)鎖定鋼板固定治療青壯年股骨頸骨折不愈合[J].中醫(yī)正骨,2017,29(02):41.
[12]李少帥,張宏軍.PauwelsⅢ型股骨頸骨折內(nèi)固定方式的選擇及常見問題探討[J].中醫(yī)正骨,2018,30(11):57.
[13]范克杰,陳柯,田可為,等.手法閉合復(fù)位聯(lián)合平行螺釘和偏軸螺釘內(nèi)固定治療青壯年垂直不穩(wěn)定型股骨頸骨折[J].中醫(yī)正骨,2020,32(07):47.
[14]馬力,汪盛玉,韓軍燁,等.長鏈非編碼RNA HAGLR與微RNA-19a-3p對股骨頸骨折內(nèi)固定術(shù)后骨折不愈合的影響[J].中醫(yī)正骨,2023,35(04):1.
　MA Li,WANG Shengyu,HAN Junye,et al.Effects of long non-coding RNA HAGLR and microRNA-19a-3p on bone nonunion after internal fixation of femoral neck fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2023,35(10):1.

備注/Memo

備注/Memo:
基金項(xiàng)目:溫州市科技計(jì)劃項(xiàng)目(Y20210442)
通訊作者:陳芒芒 E-mail:[email protected]
更新日期/Last Update: 1900-01-01