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Results of Femoral Neck Fractures Screwing in Adults at University Hospital of Brazzaville

机译:布拉柴维尔大学医院成人股骨颈骨折的结果

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Purpose: The good of this survey was to analyze the epidemiological aspects and evaluate anatomical and functional results of the treatment by screwing of femoral neck fracture in adulthood at the Teaching Hospital of an underequipped country. Material and Methods: This is a retrospective study from January 1, 2011 to December 31, 2015, concerning patients hospitalized for fractures of femoral neck and having been operated by screwing. The variables studied were epidemiological and therapeutic aspects. Anatomical results were examined on standard x rays of the pelvis in front and the hip in profil, based on the consolidation of the bony axis. Functional results were analyzed according to the quotation of Postel Merle D’Aubigné. Results: Eleven screwings of femoral neck have been done to 11 patients (9 men and 2 women), average age was 47 years (29 and 60 years) from January 2011 to December 2015, at the mean recoil of 19 months (12 and 24 months). Amongst consolidated patients (n = 7), one patient presented a necrosis of femoral head at two years hindsight. Four patients presented an aseptic pseudarthrosis of femoral neck, or a bad anatomical result. Amidst this group of patients, one underwent a joint replacement type Moore and suggestion of intermediary prothesis was recommended to three patients. According to the quotation of Postel Merle D’Aubigné, results were very satisfactory to 5 patients, good to 2 patients and bad to 4 patients. According to the score of Parker, 7 patients presented a score of 9 and 4 patients a score of 7. Conclusion: The treatment of femoral neck fractures in adulthood requires a surgical approach by osteosynthesis and must be precocious before 24 hours in order to reduce risks of pseudarthrosis of femoral neck and necrosis of femoral head.
机译:目的:本次调查的目的是在设备不足的国家的教学医院中,对成人股骨颈骨折进行螺钉固定治疗的流行病学方面进行分析并评估其解剖和功能结果。 材料与方法:这是一项自2011年1月1日至2015年12月31日的回顾性研究,涉及因股骨颈骨折住院并且接受螺钉手术的患者。研究的变量是流行病学和治疗学方面。在骨盆巩固的基础上,对前骨盆和髋骨的标准X射线以profil进行解剖学检查。根据Postel Merle D'Aubigné的报价对功能结果进行了分析。 结果:2011年1月至2015年12月,对11例患者(9例男性和2例女性)进行了11例股骨颈固定,平均年龄为47岁(29岁和60岁),平均后坐力为19个月( 12和24个月)。在合并病患(n = 7)中,一名患者在事后两年发现股骨头坏死。四名患者出现股骨无菌假关节或解剖学不良。在这组患者中,一位患者接受了关节置换型摩尔(Moore)治疗,并建议三位患者建议使用中间假体。根据Postel Merle D'Aubigné的报价,结果对5例患者非常满意,对2例患者好,对4例患者差。根据Parker的评分,7例患者的评分为9,4例患者的评分为7。结论:成年期股骨颈骨折的治疗需要通过骨合成进行外科手术,并且必须在24小时之前就早熟以减少股骨假关节和股骨头坏死的风险。

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