Surgical Treatment for Concomitant Fractures of the Femoral Neck and Diaphysis: a Treatment Protocol

同側股骨頸與骨幹合併之骨折一個治療程序

陳崇桓(Chung-Hwan Chen) ； 洪韶鴻(Shao-Hung Hung) ； 陳建志(Jian-Chih Chen) ； 陳泰斌(Tai-Bin Chen) ； 鄭裕民(Yuh-Min Cheng) ； 張瑞根(Je-Ken Chang) ； 林森源(Sen-Yuen Lin) ； 許崇義(Chung-Yi Hsu) ； 王慧瑜(Hui-Yu Wang) ； 柯淑華(Shu-Hua Ko)

《The Kaohsiung Journal of Medical Sciences》 17卷4期 (2001/04) Pp. 207-211

https://doi.org/10.6452/KJMS.200104.0207

摘要

同側股骨頸與骨幹合併之骨折並不容易治療。我們醫院的標準治療程序為以骨板固定股骨幹，骨釘或動力式髖部骨釘（DHS）固定股骨頸。從1988至1998年，我們以此標準治療程序治療了21個這種複雜骨折的病人。所有的病人都為高能量的創傷。15個男性，6個女性，平均年齡44歲，平均追蹤50個月。除了一個病人以外都癒合良好。在追蹤的過程中，沒有股骨頸癒合不良或股骨頭壞死的情形出現。也沒有不良癒合。其功能結果為20個良好，1個不良。所以我們推論以骨板固定股骨幹，骨釘或動力式髖部骨釘（DHS）固定股骨頸的治療程序對同側股骨頸與骨幹合併之骨折，是一個相當可信賴的方法。

並列摘要

Concomitant ipsilateral femoral shaft and neck fractures are difficult to treat. The standard protocol in our hospital is plates for diaphyseal fractures and lag screws or dynamic hip screws (DHS) fixations for the femoral neck fractures. We treated 21 patients with these complex fractures between 1988 and 1998 with this protocol. All patients were injured from high-energy trauma. There were 15 males and 6 females with an average age of 44 years. The average follow-up period is 50 months. All except one patient united well. During the follow-up period, neither non-union of the femoral neck fracture nor osteonecrosis of the femoral head was noted. There was also no malunion. There were twenty good results and one poor functional result. We conclude that plate on the shaft and sliding hip screws or separate screws in the hip are a reliable method for concomitant ipsilateral femoral neck and shaft fractures.

並列關鍵字

femoral neck and shaft fracture