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老年人股骨转子间骨折的治疗演变
股骨转子间骨折(Intertrochanteric femoral fracture),又被国人称为股骨粗隆间骨折,是常见的髋部骨折,多发生于老年人.由于股骨转子部血运丰富,骨折极少发生不愈合,骨折愈合后,也很少发生股骨头坏死等合并症.
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髋关节置换术后股骨假体周围骨折的诊疗进展
人工髋关节置换术后股骨假体周围骨折( periprosthetic femoral fracture , PFF)初于1954年报道。随着人工髋关节置换术及翻修术的数量逐渐增加、患者的预期寿命逐渐延长、假体工艺及手术技术的不断革新,髋关节置换术后股骨假体周围骨折的发生率逐渐上升[1]。据文献报道,人工髋关节置换术后股骨假体周围骨折的发生率已增加至12%[2]。这一并发症的治疗较为困难,效果不太理想。目前,普遍认为这一并发症的佳治疗方案是手术,但关于其优化治疗策略尚无明确的共识[3,4]。
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股骨骨折骨不连假关节呈髋关节样改变一例
患者男,45岁.自述15年前外伤致右股骨上段骨折,当时因经济原因未行手术治疗.卧床3个多月后逐渐下地活动.多年来一直感右髋部疼痛,关节活动受限.近来因右髋部疼痛加重,于2009年4月9日来院诊治.体检:一般情况可,跛行,右足呈外旋畸形,右下肢较左侧缩短约10 cm,髋关节内旋受限,右腿抬高可达60°,膝、踝关节活动正常.左下肢功能无异常.
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Femoral fractures in the presence of other intramedullary implants are uncommon. These fractures are difficult to manage and the presence of other intramedullary implants creates a complex problem. The rate of these fractures has increased due to an increase in the number of patients having total hip arthroplasty (THA) and the use of various new techniques for femoral fractures.1-5 Literature on the treatment of femoral fractures with other intramedullary implants is rare.2,3 From 1995 to 1998, we reduced these fractures openly and fixed them with a shape memory alloy sawtooth-arm embracing fixator (EF), and the outcomes were satisfactory.
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股骨粗隆间骨折的治疗进展
股骨粗隆间骨折(intertrochanteric femoral fracture,IFF)是指股骨颈基底部髋关节囊线以下至小粗隆水平以上部位的骨折, 是老年人常见的骨折之一.随着社会的老龄化、人均寿命的延长、骨质疏松人数的增加, IFF的发生率呈明显上升的趋势,IFF已成为一个影响老年人的生活质量、增加社会负担的公共问题.IFF的治疗方法很多,但治疗效果差别也较大.现对IFF治疗进展进行综述.
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Hydraulic spinal cord and cauda equina nerve injuries are very uncommon. Since 19 96, we have received and treated 4 patients with hydraulic spinal cord and cauda equina injuries. Thisreport gives a detail description.Four patients with hydraulic spinal cord and cauda equina nerve injuries, male: 3, female: 1, aging 13-56 years have been treated in our hospital since 1996. E xtradural blocking injury was in 1 patient, extradural anaesthesia injury in 1 p atient and intraspinal canal myelography injury in 2 patients; the segments of i ntraspinal canal were L2-3 and L3-4. One patient was accompanied b y femoral fracture, 2 patients by intraspinal tumor and 1 patient had operat ion because of prolapse of lumbar intervertebral disc.