腓骨支架植骨加空心髋螺钉治疗青年股骨颈骨折1例报告

Adiet Wahyu Kristian, I.G.N. Bagus Andhika Pramana, A.A. Ngurah Krisna Dwipayana, I Ketut Suyasa, I.G.N. Wien Aryana
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引用次数: 0

摘要

背景:被忽视的年轻成人(60岁)股骨颈骨折对每种特定情况的适当治疗提出了重大挑战。目的:本病例报告的目的是解释被忽视的股骨颈骨折的表现及其临床后果,并讨论该疾病的处理。病例介绍:本病例报告一名14岁男性股骨颈移位性骨折,经两枚空心螺钉闭合复位内固定及无血管化腓骨支架移植物成功治疗。结论:青壮年股骨颈骨折是一种罕见的骨折病例,最终伴有严重的并发症。儿童这类骨折的治疗是具有挑战性的,特别是那些被忽视的骨折。腓骨支撑植骨联合两枚空心髋螺钉治疗被忽视的儿童股骨颈骨折被认为具有成本效益和技术要求较低,并且具有良好的预后。
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Fibular Strut Graft with Cannulated Hip Screw of Neglected Femoral Neck Fracture in a Young Adult: A Case Report
BACKGROUND: Neglected femoral neck fractures in young adults (age <60) pose a major challenge in terms of appropriate treatments for each specific condition. AIM: The objective of this case report is to explain the presentation of neglected femoral neck fractures and its clinical consequences and to discuss the management of the disease. CASE PRESENTATION: This case presents a 14-year-old male with neglected displaced fracture of femoral neck, which was successfully managed by closed reduction and internal fixation with two cannulated screws and non- vascularized fibular strut graft. CONCLUSION: Femoral neck fractures in young adults are considered as a rare fracture case, eventually it was associated with serious complications. The management of this type of fractures in children is challenging, particularly that of a neglected fracture. Fibular strut graft with two cannulated hip screws for neglected femoral neck fractures in children considered to be cost-effective and technically less demanding as well as associated with good outcomes.
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期刊介绍: Open Access Macedonian Journal of Medical Sciences (OAMJMS) [formerly known as Macedonian Journal of Medical Sciences] is a top-tier open access medical science journal published by the ID Design 2012/DOOEL Skopje, Rajko Zhinzifov No 48, 1000 Skopje, Republic of Macedonia. OAMJMS is an international, modern, general medical journal covering all areas in the medical sciences, from basic studies to large clinical trials and cost-effectiveness analyses. We publish mostly human studies that substantially enhance our understanding of disease epidemiology, etiology, and physiology; the development of prognostic and diagnostic technologies; trials that test the efficacy of specific interventions and those that compare different treatments; and systematic reviews. We aim to promote translation of basic research into clinical investigation, and of clinical evidence into practice. We publish occasional studies in animal models when they report outstanding research findings that are highly clinically relevant. Our audience is the international medical community as well as educators, policy makers, patient advocacy groups, and interested members of the public around the world. OAMJMS is published quarterly online version. The Open Access Macedonian Journal of Medical Sciences (OAMJMS) publishes Medical Informatics, Basic Science, Clinical Science, Case Report, Brief Communication, Public Health, Public Policy, and Review Article from all fields of medicine and related fields. This journal also publishes, continuously or occasionally, the bibliographies of the members of the Society, medical history, medical publications, thesis abstracts, book reviews, reports on meetings, i­n­formation on future meetings, important events and dates, and various headings which contribute to the development of the corresponding scientific field.
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