- 期刊
Intracapsular Femoral Neck Nonunions Treated by Subtrochanteric Valgus Osteotomies and Dynamic Hip Screw Fixations
使用股骨轉子下外翻截骨術及動態性髖部螺釘來治療關節囊內股骨頸未癒合
並列摘要
Purpose: Our purpose was the investigation of treatment outcomes of intracapsular femoral neck nonunion treated by subtrochanteric valgus osteotomy and dynamic hip screw stabilization. Methods: We conducted a prospective study of failed internal fixation in 27 adults with intracapsular femoral neck nonunion without preoperative evidence of femoral head necrosis. Treatment was by subtrochanteric valgus osteotomy and dynamic hip screw stabilization. The mean interval from femoral neck fractures to osteotomy was 1.5 years. Protected weight bearing until healing was advised. Results: We followed twenty-four patients for at least 2 years. All femoral neck fractures healed, with a union time of 5.1 ±1.3 months and all osteotomy sites healed, with a union time of 4.7±1.1 months. Progressive osteonecrosis of the femoral head in two patients (8%) was the only complication. Conclusions: Subtrochanteric valgus osteotomy and internal fixation with dynamic hip screw fixation is useful for treating femoral neck nonunion without preoperative femoral head avascular necrosis. Although outcome is usually good, possible femoral head osteonecrosis requires close observation.
延伸閱讀
- Chen, S. J., Hu, C. H., & Chang, Y. C. (2003). 對感染性髖關節置換兩階段式重建術使用骨泥填充造成髂血管受傷之病例報告. Journal of Orthopaedic Surgery Taiwan, 20(1), 48-51. https://www.airitilibrary.com/Article/Detail?DocID=10116923-200303-20-1-48-51-a
- 黃世傑、劉堂桂（1989）。以合併開放復位，三位式骨盤切骨術及股骨縮短術來治療晚期的先天性髖關節脫臼病人。Journal of Orthopaedic Surgery Taiwan，6(4)，169-185。https://www.airitilibrary.com/Article/Detail?DocID=10116923-198912-6-4-169-185-a
- Tsai, C. E., Chen, W. M., Wu, P. K., Chen, C. F., Chiang, C. C., Huang, C. K., Liu, C. L., & Chen, T. H. (2009). 以骨幹固定式雙極人工半髖關節治療移位股骨頸骨折. Journal of Orthopaedic Surgery Taiwan, 26(4), 180-187. https://www.airitilibrary.com/Article/Detail?DocID=10116923-200912-201001150086-201001150086-180-187
- Chen, C. E., Wang, J. W., & Wang, C. J. (2007). 轉子下外翻切骨術治療股骨近端骨折不癒合. 輔仁醫學期刊, 5(1), 17-26. https://www.airitilibrary.com/Article/Detail?DocID=18102093-200703-5-1-17-26-a
- Chiu, Y. C., Huang, K. C., & Lee, T. S. (2005). 股骨大轉滑動式截骨術在困難人工髖關節置換手術之運用. Journal of Orthopaedic Surgery Taiwan, 22(2), 74-79. https://www.airitilibrary.com/Article/Detail?DocID=10116923-200506-22-2-74-79-a