使用大牵张器和标准放射表进行股骨大转子骨折头髓内钉治疗

IF 0.2 Q4 ORTHOPEDICS Techniques in Orthopaedics Pub Date : 2021-09-16 DOI:10.1097/BTO.0000000000000571
B. L. Davison
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引用次数: 0

摘要

背景:颅髓内钉用于治疗股骨粗隆骨折。骨折或牵引台通常用于获得和维持骨折复位。一些患者由于身体习惯或同侧足部或踝关节病理不太适合标准骨折台使用。本研究描述了一种技术和结果,在标准放射光台上使用大牵引器治疗股骨粗隆骨折与头髓内固定。方法:采用头髓内固定技术复位和稳定股骨粗隆骨折。所有骨折均在放射治疗台上复位,使用大型骨牵张器,在骨盆髋臼上区使用5或6毫米螺纹钉,在股骨远端使用5毫米螺纹钉。本文回顾了采用该技术治疗的前36例患者的结果。结果:所有骨折均能复位稳定。平均总手术时间为89分钟,从切口到伤口愈合平均时间为53分钟。30例患者随访至骨折愈合,无进一步手术干预。1例患者发生骨不连并植入物失败,4例患者死亡,1例患者失去随访。结论:如果外科医生认为骨折台不是一个很好的选择,使用该技术可以复位和稳定股骨大转子骨折。
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Cephalomedullary Nailing of Pertrochanteric Femur Fractures using a Large Distractor and Standard Radiolucent Table
Background: Cephalomedullary nailing is used to treat pertrochanteric fractures of the femur. A fracture or traction table is generally used to obtain and maintain fracture reduction. Some patients because of body habitus or ipsilateral foot or ankle pathology are not well suited for standard fracture table use. This study describes a technique and the results of using the large distractor on a standard radiolucent table to treat pertrochanteric femur fractures with a cephalomedullary implant. Methods: The described technique was used to reduce and stabilize pertrochanteric femur fractures with a cephalomedullary implant. All fractures were reduced on a radiolucent table using the large bone distractor with 5 or 6 mm threaded pin in supra-acetabular area of the pelvis and a 5 mm threaded pin in the distal femur. Results for the first 36 patients treated with this technique are reviewed. Results: All fractures were able to be reduced and stabilized using the technique. The average total operative time was 89 minutes and the average time from incision to wound closure was 53 minutes. Thirty patients were followed until fracture union and healed without further surgical intervention. One patient developed a nonunion with implant failure, 4 patients died, and 1 was lost to follow up. Conclusions: Pertrochanteric femur fractures can be reduced and stabilized using this technique if the surgeon feels the fracture table is not a good option.
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
31
期刊介绍: The purpose of Techniques in Orthopaedics is to provide information on the latest orthopaedic procedure as they are devised and used by top orthopaedic surgeons. The approach is technique-oriented, covering operations, manipulations, and instruments being developed and applied in such as arthroscopy, arthroplasty, and trauma. Each issue is guest-edited by an expert in the field and devoted to a single topic.
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