股骨干骨折合并同侧股骨颈骨折的分类与治疗  

CLASSIFICATION AND TREATMENT OF FEMORAL SHAFTFRACTURE WITH IPSILATERAL FEMORAL NECK FRACTURE

作　　者：姚小锐[1] 

机构地区：[1]河南省洛阳正骨医院正骨研究所

出　　处：《中医正骨》1998年第4期11-12,共2页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：报告了９例股骨干骨折合并同侧股骨颈骨折。依据股骨干骨折的损伤程度和股骨颈骨折的移位程度，提出了临床Ⅳ型分类标准。分析了该类损伤骨折好发于股骨中段和股骨颈骨折多呈轻度移位的原因。认为由于股骨颈骨折在诊治方面存在着漏诊率高、易发生骨折不愈合和股骨头缺血坏死等特点。治疗上应优先考虑应用单枚骨圆针经皮撬拉牵引复位疗法。９例患者均经随访，参照Ｆｒｉｅｄｍａｎ等的评定方法。ine cases of femoral shaft fracture with ipsilateral femoral neck fracture are reported in this paper. According to injury severity of the former and displacement degree of the latter, the author proposed the 4type classification standard for these lesions, and analysed the causes for predilection of the former for the middle femur and for predilection of the latter for slight displacement. It was considered that in its diagnosis and treatment, the latter, with high rate of missed diagnosis, liability to nonunion and ischemic femoral head necrosis, etc, should be given priority, and percutaneous single osseous pin prying pulling reduction was recommended for it. Nine cases receiving this therapy were followed up with satisfactory results according to Friedmans evaluation method.

关 键 词：股骨干骨折 股骨颈骨折 分类 治疗 

分 类 号：R683.420.5[医药卫生—骨科学]