低位股骨转子间骨折闭合复位的手术技巧

发布时间：2018-01-23 12:58

本文关键词： 股骨转子间骨折手法复位闭合内固定手术技巧　出处：《中国矫形外科杂志》2017年01期 　论文类型：期刊论文

【摘要】：[目的]总结、分析低位股骨转子间骨折的闭合复位方法。[方法]自2013年11月~2016年4月共治疗低位股骨转子间骨折74例,其中32例单纯依靠牵引床不能满意复位。按照AO/OTA标准A1-3型9例,A2-3型23例。透视下如牵引复位不良,则应用骨膜剥离器、骨钩或顶棒辅助复位。维持复位后,置入内固定物。[结果]本组32例参照Bojan复位标准,优19例,良9例,可4例。所有病例,无额外切口,无股动脉损伤发生。[结论]对于低位股骨转子下骨折,在单纯牵引难以复位时,在牵引床牵引的基础上,采用骨膜剥离器、骨钩及顶棒的辅助,可取得满意的闭合复位效果。
[Abstract]:[Objective] to summarize and analyze the closed reduction method of low intertrochanteric fracture. [Methods] from November 2013 to April 2016, 74 cases of low intertrochanteric fractures were treated. According to AO/OTA standard, 9 cases with A1-3 type and 23 cases with A2-3 type. If traction reduction is bad under fluoroscopy, periosteal dissection device is used. Bone hooks or crowns assist reduction. After maintaining reduction, an internal fixator is placed. [Results] according to Bojan reduction criteria, 19 cases were excellent, 9 cases were good and 4 cases were fair. There was no extra incision and no injury of femoral artery in all cases. [Conclusion: for the lower subtrochanteric fracture of femur, when traction alone is difficult to reduce, on the basis of traction bed traction, periosteum dissecting device, bone hook and top rod can be used to obtain satisfactory closed reduction results.
【作者单位】：山东大学齐鲁医院;
【分类号】：R687.3
【正文快照】： 对股骨转子间骨折的治疗,闭合复位内固定常可达到满意的复位效果[1]。然而,仍有部分骨折单纯依靠牵引无法达到满意的复位效果。此类骨折,骨折线多涉及到小转子下,往往需要切开复位或辅助额外切口。切开复位往往采用外侧切口暴露断端,需要游离髂腰肌,创伤大、出血多、软组织铰

【相似文献】