两例Ipsilateral后部部脱和股骨轴骨折和管理的情况
Kuldeep Chand Vatsyan1, Amit Kumar Salaria2, Punit Katoch1
1Department of Orthopaedic Surgery, Shri Lal Bahadur Shastri Government Medical College and Hospital, Mandi, Himachal Pradesh, India.
Journal of orthopaedic case reports
|April 1, 2024
概括
带有部脱位的双侧大腿骨轴骨折很少见,但越来越多的复杂损伤. 使用外部固定器或互锁钉等技术的紧急管理对于更好的结果至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 创伤管理 创伤管理
- 骨受伤 骨受伤 骨受伤
背景情况:
- 半侧大腿骨轴骨折和部脱是罕见的,复杂的创伤性损伤.
- 由于各种创伤机制,复杂骨折的发生率正在上升.
- 这些伤害带来了重大的诊断和手术挑战.
研究的目的:
- 为了呈现两例双侧大腿骨轴骨折和部脱的情况.
- 讨论与这些伤害相关的诊断和治疗挑战.
主要方法:
- 案例1:通过外部固定器针减少部,用外部固定器稳定大腿骨折.
- 案例2:用骨紧固件减少部,用一个相互锁定的钉子固定大腿骨骨折.
主要成果:
- 证明成功管理了两个罕见的双侧股骨轴骨折和部脱的病例.
- 突出了外部固定器和互锁钉在稳定这些复杂的伤害中的实用性.
结论:
- 固定器辅助的闭合减缩是一种主要治疗关节后部脱与侧大腿骨轴骨折的治疗方法.
- 如果闭合缩减失败,可能需要开放缩减,允许直接操纵,以最小的并发症进行部缩减.
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