在没有牵引台的情况下,头髓内钉的钩状体辅助复位。

IF 0.5 4区 医学 Q4 ORTHOPEDICS
Acta Ortopedica Brasileira Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243202e274533
Cagatay Tekin, Burak Gunaydin, Mesut Karıksız
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引用次数: 0

摘要

简介在没有牵引台的情况下,股骨近端钉治疗股骨转子间骨折有时是一项具有挑战性的手术,尤其是在骨折形态复杂的情况下。我们的目标是用钩形钉克服这一困难:对 60 例患者进行回顾性研究。其中 28 名患者必须使用挂钩进行复位(第 1 组)。其他患者无需使用该技术(第 2 组,32 人)。使用X光片测量了髋臼与骺端的夹角、滞后螺钉的位置以及尖端与骺端的距离:结果:两组的Garden对齐指数、术后髋臼与髋臼之间的夹角和尖端与尖端之间的距离在统计学上有显著差异。第一组和第二组正面的花园对齐指数分别为 163.92 度(dg)和 154.78 度(dg)。第 1 组的尖端与骺端的距离为 16.05 厘米,而第 2 组为 25.32 厘米。第 1 组的骺端与骺端的夹角为 133.1º,而第 2 组为 128.65º:在没有牵引台的情况下进行手术时,钩辅助缩窄术是有益的;但是,即使在牵引台上进行手术,钩辅助缩窄术也可以成为外科医生设备的一部分。当移位的股骨转子间骨折难以获得理想的解剖复位时,我们建议使用挂钩辅助复位技术。证据等级 III;病例对照研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
HOOK ASSISTED REDUCTION IN CEPHALOMEDULLARY NAILING WITHOUT TRACTION TABLE.

Introduction: Proximal femoral nailing for intertrochanteric femur fracture is sometimes a challenging procedure without a traction table, especially if complicated fracture pattern. We aimed to overcome this difficulty with the hook.

Materials and methods: A retrospective study of 60 patients. 28 of the patients reduction was necessitated with a hook (group 1). The other patients did not need to use this technique (group 2, n=32). The collo-diaphyseal angle, lag screw placement, and tip-apex distance were measured using radiographs.

Results: There were statistically significant differences between the two groups regarding the Garden Alignment Index, postoperative collo-diaphyseal angle measurements, and tip-apex distance. The Garden Alignment Index was found as 163.92 degrees (dg.) In the frontal plane in group 1, and 154.78 dg in group 2, respectively. In group 1, the tip-apex distance was 16.05 cm, whereas it was 25.32 cm in group 2. The collo-diaphyseal angle was 133.1º in group 1, and 128.65º in group 2.

Conclusions: The hook-assisted reduction is beneficial when operating without a traction table; however, it can also be a part of the surgeons' equipment even when operating on a traction table. When difficulties in obtaining an ideal anatomical reduction in displaced intertrochanteric femoral fractures, we suggest using the hook-assisted reduction technique. Level of Evidence III; Case-control Study.

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来源期刊
CiteScore
0.90
自引率
14.30%
发文量
67
审稿时长
25 weeks
期刊介绍: A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.
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