The Use of Sliding Hip Compression Screw in the Treatment of Displaced Femoral Basal Neck Fracture in an Elderly Patient with Interlocking Nail over Ipsilateral Femoral Intramedullary Canal-Case Report

老年人同側股骨幹骨折用interlocking nail固定後同側股骨頸底骨折用compression hip screw & plate來治療－病例報告

魏敏雄(Min-Hsiung Wei)

《東港安泰醫護雜誌》 10卷3期 (2004/09) Pp. 153-158

https://doi.org/10.7078/TSMHMNJ.200409.0153

摘要

骨質疏鬆會增加老年人骨折的機會，它也說明老年人骨折後用鋼釘內固定後容易失敗的原因。本篇論文報告一位78歲女性病患因為同側股骨幹再次骨折接受骨隨內互鎖式內固定釘(interlocking nail)固定和骨頭移植手術治療後，又發生股骨頸底骨折，起初計劃用Knowles氏鋼釘(Knowles pin)或骨鬆層螺釘(cancellous screw)來作內固定。因為骨頭疏鬆都無法達到穩定的固定，所以改用壓迫性髖螺旋釘和鋼板(compression hip screw & plate)來固定，術後恢復良好，一年後骨頭已癒合。

關鍵字

股骨頸底骨折 ； 骨質疏鬆 ； 壓迫性髖螺旋釘和鋼板compression hip screw & plate

並列摘要

Osteoporosis is the most determinant factor for the increase of fracture risks associated with aging and it accounts for high rates of loss of reduction. This paper presents a case of a 78-year-old woman with femoral basal neck fracture after the admission of interlocking nail and autogenous bone graft for ispilateral femoral shaft refracture. Initially multiple Knowle's pins or cancellous screws were planned but loose purchas over the femoral head was noted. So hip compression screw and plat was chosen. Postoperative course was smooth. Bony union was noted one year later.

並列關鍵字

Femoral basal neck fracture ； Osteoporosis ； Hip compression screw and plate