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1
題名:Results of Unstable Peritrochanteric Fractures Treated with Dynamic Hip Screws (DHS) Fixation with or without Trochanter Stabilizing Plate (TSP) Augmentation     (16點)
動態髖螺釘聯合粗隆支持鋼板與動態髖螺釘應用於股骨粗隆周圍骨折之治療結果比較
著者:Chun-Wei Yew(尤俊衛) ;Chun-Yu Chang(張淳昱) ;Po-Wen Shen(沈博文)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:peritrochanteric fracture ; trochanter stabilizing plate (TSP) ; dynamic hip screw (DHS)
刊名:Formosan journal of surgery
卷期:43卷1期(2010.2)
頁碼:12-19
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

背景及目標:?了評估動態髖螺釘聯合粗隆支持鋼板用於治療股骨粗隆周圍骨折特別是不穩定之骨折的效果。 方法:本文回顧183個股骨粗隆周圍骨折的病人,從2002年8月至2007年4月,其中動態髖螺釘及粗隆支持鋼板組及髖螺釘組追蹤一年以上者分別有25及17人,所有的股骨粗隆周圍骨折是特別根據AO來做分類。 結果:粗隆支持鋼板可以避免股骨幹的過度塌陷及往內側位移及減少動力髖螺釘的位移,同時可以避免大轉子骨往外偏移,其中一個病人因?內固定失敗及發生術後股骨頸骨折而接受雙極式人工半髖關節置換術。動態髖螺釘及粗隆支持鋼板組和動力髖螺釘組的平均滑動距離分別?5.9毫米和11.2毫米,在動態髖螺釘及粗隆支持鋼板組抗旋轉螺釘被應用於5個病人以避免近端股骨頭及股骨頸骨折之旋轉。 結論:粗隆支持鋼板合併動態髖螺釘可以避免股骨粗隆周圍骨折之過度滑動及骨折遠端往內偏移。因此使用粗隆支持鋼板可減少動態髖螺釘的位移,同時不影響骨折之癒合。
Objectives: To evaluate the outcomes of surgical treatment of unstable peritrochanteric fractures with dynamic hip screws (DHS) enhanced with a trochanter stabilizing plate (TSP). Methods: We retrospectively reviewed the records of 183 patients with peritrochanteric fracture including subtrochanteric fracture and reverse obliquity fracture of the intertrochanteric region treated between August 2002 and April 2007. Twenty-five patients in the TSP with DHS group and 17 patients in the DHS group were followed up for at least one year. All peritrochanteric hip fractures were classified by OTA criteria, which are based on the AO classification. Results: TSP prevented excessive collapse, medial translation of the femoral shaft and excessive sliding of the lag screw. Lateralization of the greater trochanter was successfully prevented. In one patient the operation was converted to bipolar hemiarthroplasty because of postoperative femoral neck fracture and implant failure. The mean sliding distance in the TSP with DHS group was 5.9 mm, and in the DHS group was 11.2 mm. Anti-rotation screws were used in 5 patients in the TSP+DHS group to prevent rotation of the head-neck fragments. Conclusion: In comparison with conventional DHS, the TSP superimposed on DHS not only prevented excessive telescoping and medialization of the distal fracture fragment, but also reduced excessive secondary lag screw sliding without affecting fracture healing.


    

本卷期目次
Formosan journal of surgery 43卷1期 (2010.2)
Pathophysiological Factors Contributing to Keloid Formation/ Fa-Lai Yeh
Results of Unstable Peritrochanteric Fractures Treated with Dynamic Hip Screws (DHS) Fixation with or without Trochanter Stabilizing Plate (TSP) Augmentation/ Chun-Wei YewChun-Yu ChangPo-Wen Shen
Dexamethasone Combined with Morphine does not Decrease Postoperative Nausea and Vomiting in Patients Undergoing Thyroidectomy or Parathyroidectomy/ Jong-Yueh LinFong-Fu ChouTing-Lung LinKun-Chou HsiehYa-Ling Yang
Malignant Extrarenal Rhabdoid Tumors of the Omentum with Hemoperitoneum: Report of a Case/ Hui-Han LinShih-Chi WuRay-Jade ChenYu-Chiang Lin
Stab Wound in the Neck with Injury to the Cervical Cord and Ipsilateral Vertebral Artery: Report of a Case/ Da-Wei HuangKuo-Cheng HuangVong-Kuoy PhuongShih-Hahn Chen
Umbilical Metastasis-An Unusual Presentation of Colon Cancer: Report of two Cases and Review of Literature/ Ting-Min HsiehCheuk-Kwan SunHong-Hwa Chen
Primary Intraventricular Hemorrhage due to Rupture of Angiographically Occult Vascular Malformation: Report of a Case/ Yu-Kai ChengMing-Shian LuJen-Tsung YangMing-Hsueh LeeChen-Hsing SuTing-Chung Wang
First-line Therapy with Lapatinib (TykerbR) in Metastatic Breast Cancer that Progressed on Adjuvant Trastuzumab (HerceptinR) Treatment: Report of a Case/ Ya-Fen HsuFiona Tsui-Fen ChengYen-Kung ChenChin-Chu Wu
Arterial Switch Operation for Transposition of the Great Arteries/ Ing-Sh Chiu
 
   
 
   

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