髋周创伤后致股骨头坏死的影响因素分析  

Analysis on factors affecting osteonecrosis of femoral head secondary to periacetabular injury

作　　者：冷燕奎[1,2] 江建明[1] 李建军 金宪政 张旭生[3] 

机构地区：[1]南方医科大学南方医院脊柱骨科,广州5105151 [2]浙江金华广福医院骨科 [3]金华职业技术学院司法鉴定所,321000

出　　处：《中华关节外科杂志（电子版）》2011年第3期40-42,共3页Chinese Journal of Joint Surgery(Electronic Edition)

摘　　要：目的探讨髋周创伤后可能导致股骨头坏死的影响因素。方法回顾性分析2003年11月至2010年12月在临床诊疗及伤残鉴定工作中发现的继发于髋周创伤后的股骨头坏死病例28例,对诊疗过程缺陷及可能导致股骨头坏死的影响因素进行分析。结果存在漏诊、复位不良及内固定安放不当等明显医疗缺陷因素的有9例,可能由于高能量损伤、负重过早等因素导致股骨头坏死的有19例。结论虽然股骨头坏死的原因是多方面和多因素的,但有些能够控制的危险因素应该尽量避免,特别是存在明显的诊疗缺陷时,更需要及时总结教训,最大可能地减少股骨头坏死发生,避免医疗纠纷的产生。Objective To explore the factors influencing the osteonecrosis of femoral head secondary to periacetabular injury. Methods A retrospective study was carried out in 28 patients with osteoneerosis of femoral head secondary to periacetabular trauma between November 2003 and December 2010. The obvious faults in diagnosis and treatment as well as possible influencing factors were all investigated. Results The obvious medical faults such as poor reduction and internal fixation selection existed in nine cases. The osteonecrosis in other 19 cases was possibly caused by high energy injury and too early load. Conclusions Although the causes of osteonecrosis were multiple and complicated, but we should try to avoid the risk factors as possible as we can to reduce the rate of osteonecrosis and the medical disputes.

关 键 词：股骨头坏死 创伤 回顾性研究 

分 类 号：R687.3[医药卫生—骨科学]