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首页> 外文期刊>Injury >Posterior multifragmentation of the femoral neck: does it portend a poor outcome in internally fixed intracapsular hip fractures?
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Posterior multifragmentation of the femoral neck: does it portend a poor outcome in internally fixed intracapsular hip fractures?

机译:股骨颈后部多处碎裂:是否预示着内部固定的囊内髋部骨折预后不良?

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AIM: To establish whether posterior multifragmentation of intracapsular proximal femoral fractures leads to an increased incidence of non-union and avascular necrosis following internal fixation by contemporary methods. METHODS: After preoperative radiography which was evaluated for posterior fragmentation, 1042 intracapsular hip fractures (471 undisplaced and 571 displaced) were treated with reduction and internal fixation. The rates of non-union and avascular necrosis in the presence or absence of fragmentation were compared in both undisplaced and displaced groups. RESULTS: The undisplaced cases comprised 460 non-fragmented and 11 fragmented fractures. The complication rates were 14% and 18%, respectively. Displaced fractures consisted of 489 non-fragmented and 82 fragmented cases. In this group, complication rates were 43% and 40%, respectively. No difference was statistically significant. CONCLUSIONS: Using current methods of internal fixation of intracapsular hip fractures, there is no significant association between the posterior multifragmentation of the femoral neck observed on preoperative radiography and the later development of fracture healing complications.
机译:目的:通过现代方法确定内囊固定后股骨近端骨折的后方多片段化是否导致内固定后不愈合和无血管坏死的发生率增加。方法:对术前X线片进行后方骨折评估后,行复位复位内固定治疗1042例囊内髋部骨折(未移位471例,移位571例)。比较未置换组和置换组中存在或不存在碎片时的骨不连和无血管坏死的发生率。结果:未移位的病例包括460例无碎片骨折和11处碎裂骨折。并发症发生率分别为14%和18%。移位骨折由489例无碎片骨折和82例碎裂病例组成。在该组中,并发症发生率分别为43%和40%。差异无统计学意义。结论:使用目前的内囊内髋骨骨折内固定方法,术前X线片上观察到的股骨颈后部多裂片与骨折愈合并发症的后期发展之间无显着相关性。

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