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首页> 美国卫生研究院文献>Revista Brasileira de Ortopedia >How do Orthopedic Surgeons Manage Displaced Femoral Neck Fracture in the Middle-Aged Patient? Brazilian Survey of 78 Orthopaedic Surgeons
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How do Orthopedic Surgeons Manage Displaced Femoral Neck Fracture in the Middle-Aged Patient? Brazilian Survey of 78 Orthopaedic Surgeons

机译：骨科医生如何处理中年患者的股骨颈移位骨折？巴西对78名整形外科医生的调查

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>Objective  The aim of the present study was to evaluate the practices and preferences of Brazilian orthopedic surgeons for the treatment of femoral neck fractures in middle-aged patients. >Methods  A survey containing 10 images of femoral neck fractures was sent to a group of 100 orthopedic surgeons, all of them members of the Brazilian Society of Orthopedics and Traumatology. The questionnaire asked the treatment option for cases of nondisplaced and displaced fractures of the femoral neck in middle-aged patients, that is, those between 50 and 69 years old. Descriptive and inferential statistical analyzes were performed using the chi-squared (χ2) and the Fisher exact tests. The level of significance was 5%. >Results  The survey was answered by 78% of the orthopedic surgeons invited to participate in the study. There was no significant difference in the treatment method distribution between generalists and specialists ( p  = 0.16) in the sample of nondisplaced femoral neck fractures. There was a highly significant difference in the treatment method distribution between generalists and specialists ( p  < 0.0001) in the sample of displaced fractures of the femoral neck. >Conclusion  Preservation of the femoral head through multiple cannulated screws fixation is the treatment of choice for nondisplaced femoral neck fractures for both generalists and specialists. Low chronological and/or physiological age are the main factors for this decision-making. In displaced femoral neck fractures, femoral head replacement is preferred for both groups of orthopedists (generalists and specialists). In this situation, specialists prefer total hip arthroplasty (THA), whereas generalists favor partial hip arthroplasty (PHA).
机译：>目的本研究的目的是评估巴西骨科外科医生治疗中年股骨颈骨折的做法和偏好。 >方法将包含10股股骨颈骨折的图像的调查问卷发送给了100位骨科医生，他们都是巴西骨伤科学会的成员。该问卷询问中年患者（即50至6​​9岁之间）的非移位和移位的股骨颈骨折的治疗方案。使用卡方（χ2）和Fisher精确检验进行描述性和推论统计分析。显着性水平为5％。 >结果接受调查的78％的骨科医师回答了调查。在未移位的股骨颈骨折样本中，通才和专科医生之间的治疗方法分布无显着差异（p = 0.16）。在股骨颈移位性骨折样本中，通才和专科医生之间的治疗方法分布存在极显着差异（p <0.0001）。 >结论通才和专科医生选择通过多个空心螺钉固定来保护股骨头是治疗非移位性股骨颈骨折的一种选择。时间和/或生理年龄偏低是此决策的主要因素。在移位的股骨颈骨折中，两组骨科医生（普通科医生和专科医生）均首选股骨头置换。在这种情况下，专家更喜欢全髋关节置换术（THA），而全科医生则更喜欢局部髋关节置换术（PHA）。

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