| 刘阳 刘浩 王涛 石晶 文元 高乐才 明星 王峰.髋关节后侧入路结合大粗隆截骨治疗PipkinⅣ型股骨头骨折[J].,2014,14(18):3536-3538 |
| 髋关节后侧入路结合大粗隆截骨治疗PipkinⅣ型股骨头骨折 |
| Posterior Approach Combined with Trochanteric Flip Osteotomy for theFixation of Pipkin Type IV Femoral Head Fractures |
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| DOI： |
| 中文关键词: 股骨头 骨折 截骨术 手术入路 |
| 英文关键词: Femoral head Fracture Osteotomy Surgical approach |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨髋关节后侧入路结合大粗隆截骨治疗Pipkin IV 型股骨头骨折的疗效。方法：回顾性分析我院2006 年3 月至
2012 年10 月采用髋关节后侧入路结合大粗隆截骨治疗Pipkin IV 型股骨头骨折患者共8 例。其中男5 例，女3 例。结果：本组病
例随访时间为18～58 个月，平均36 个月。按照采用Thompson-Epstein 疗效评定标准，优：3 例；良：3 例；可：2 例。结论：髋关节后
侧入路结合大粗隆截骨治疗PipkinⅣ型股骨头骨折可获得充分的显露，并为股骨头的复位、固定提供极大方便，损伤相对较小,对
股骨头血运影响小，效果良好。 |
| 英文摘要: |
| Objective:To evaluate the clinical results of posterior approach combined with trochanteric flip osteotomy for the
management of Pipkin type IV femoral head fractures.Methods:We retrospectively reviewed 8 patients with Pipkin type IV femoral head
fractures from March 2006 to October 2012, including 5 male and 3 female patients. Posterior approach combined with trochanteric flip
osteotomy was performed for surgical open reduction and internal fixation of the fractures.Results:All of the patients were followed up
for 18 to 58 months (mean 36 months). According to the Thompson-Epstein evaluation criteria, 3 cases achieved excellent results, 3 cases
achieved good results and 2 cases achieved fair results.Conclusion:Posterior approach combined with trochanteric flip osteotomy
provides good exposure, facilitates the reduction and fixation for Pipkin type IV femoral head fractures, and brings less damage to the
blood supply of the femoral head. The outcome is good. |
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