关键词: Core decompression Osteonecrosis of the femoral head Subtrochanteric fracture

Mesh : Humans Male Adult Decompression, Surgical / methods Femur Head Necrosis / surgery etiology diagnostic imaging Hip Fractures / surgery diagnostic imaging Fracture Fixation, Intramedullary / methods Treatment Outcome Postoperative Complications / etiology surgery

来  源:   DOI:10.1186/s12891-024-07536-5   PDF(Pubmed)

Abstract:
BACKGROUND: Osteonecrosis of the femoral head (ONFH) is a common clinical disease. Improper treatment can lead to femoral head collapse and hip joint dysfunction. Core decompression is particularly important for early ONFH. However, subtrochanteric fractures after core decompression cause some clinical problems.
METHODS: This article describes a 34-year-old male patient with early ONFH. After core decompression, he suffered a subtrochanteric fracture of the femur while bearing weight on the affected limb when going up stairs. He was subsequently treated with open reduction and intramedullary nail fixation.
CONCLUSIONS: When core decompression is used to treat ONFH, the location or size of the drill hole, whether a tantalum rod or bone is inserted, and partial weight-bearing of the affected limb may directly affect whether a fracture occurs after surgery. It is hoped that this case report can provide a reference for clinical orthopedic surgeons in the treatment of early ONFH.
摘要:
背景:股骨头坏死(ONFH)是临床常见病。治疗不当会导致股骨头塌陷和髋关节功能障碍。核心减压对于早期ONFH尤为重要。然而,股骨粗隆下骨折髓芯减压后引起一些临床问题。
方法:本文描述了一名34岁男性早期ONFH患者。堆芯减压后,他在上楼梯时承受患肢的重量时,股骨粗隆下骨折。他随后接受了切开复位和髓内钉固定治疗。
结论:当使用核心减压治疗ONFH时,钻孔的位置或大小,是否插入钽棒或骨头,患肢部分负重可能直接影响手术后是否发生骨折。希望该病例报告能为临床骨科医师治疗早期ONFH提供参考。
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