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首页> 外文期刊>Revista Brasileira de Ortopedia >Tratamento cirúrgico das fraturas da cabe?a femoral através da luxa??o anterior controlada do quadril – Série de quatro casos e revis?o da literatura
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Tratamento cirúrgico das fraturas da cabe?a femoral através da luxa??o anterior controlada do quadril – Série de quatro casos e revis?o da literatura

机译：髋关节前脱位手术治疗股骨头骨折4例及文献复习

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摘要

Objective To report a series of cases of patients treated by fracture of the femoral head through the Ganz pathway with controlled dislocation of the hip. Method All patients who were surgically treated with a Ganz access route for femoral head fractures were identified in a tertiary referral service for trauma. A review of medical records with X ‐rays and CT scans was carried out. The radiographic evaluation was classified according to Pipkin and the functional evaluation was performed through the application of the modified Harris Hip Score. Data regarding the quality of reduction, type of fixation, and postoperative complications were collected. Results The sample consisted of three men and one woman, with a mean age of 30 years (20‐51). Regarding Pipkin's classification, two cases were type I , one type II , and one type IV . Regarding the Harris Hip Score, an average of 65.75 points was obtained (range: 20 to 86). All cases had anatomical reduction in the intraoperative period. One case presented post‐traumatic sciatic nerve praxis and evolved with infection at the surgical site. Conclusion Surgical treatment of femoral head fractures through controlled hip dislocation is a viable option and can be considered an alternative to classical approaches.
机译：目的报道一系列通过Ganz通路经髋关节脱位治疗股骨头骨折的患者。方法在第三次转诊中确定了所有接受用Ganz入路手术治疗的股骨头骨折患者。用X射线和CT扫描检查了病历。根据Pipkin对放射线评估进行分类，并通过应用改良的Harris髋关节评分进行功能评估。收集有关复位质量，固定类型和术后并发症的数据。结果样本由三名男性和一名女性组成，平均年龄为30岁（20-51）。关于皮普金（Pipkin）的分类，有两种情况分别是I型，II型和IV型。关于哈里斯臀部得分，平均得到65.75分（范围：20到86）。所有病例均在术中解剖复位。 1例表现为创伤后坐骨神经切除，并在手术部位发生感染。结论通过控制性髋关节脱位手术治疗股骨头骨折是一种可行的选择，可以被认为是传统方法的替代方法。

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