摘要
股骨近端内侧主要有股骨距、股骨小转子等重要结构,其在抗屈曲、抗内翻方面有重要作用。股骨近端血供丰富,骨折经治疗后极少发生骨折不愈合,手术治疗已成为临床医生的首选方案。股骨近端骨折术中恢复内侧皮质的连续性是影响手术成功的关键。而如何在术中恢复股骨近端内侧的连续性及其支撑作用,仍是临床上的难题。本文将对股骨近端内侧壁及其支撑固定的研究进展进行综述,旨在为临床医生治疗股骨近端骨折时起到一定的指导作用。
The main structures of proximal femur,such as femoral calcar and lesser trochanter,play an important role in anti-flexion and anti-varus.As the proximal femur is rich in blood supply and its fracture rarely leads to nonunion after treatment,surgical treatment has become the first choice for orthopaedists to deal with such fractures.The key to a successful surgery for proximal femoral fracture is to restore the continuity of medial cortex.However,it is still a great challenge how to restore the medial continuity of the proximal femur and its supporting role as well.This article reviews the current progress in research on the proximal femoral medial wall and its supporting fixation in order to provide clinical guidance for orthopaedists treating proximal femoral fractures.
作者
徐锴
李开南
Xu Kai;Li Kainan(Zunyi Medical College,Zunyi 563003,China;Department of Orthopaedics,The Affiliated Hospital to Chengdu University,Chengdu610081,China)
出处
《中华创伤骨科杂志》
CAS
CSCD
北大核心
2018年第12期1101-1104,共4页
Chinese Journal of Orthopaedic Trauma
基金
国家重点研发项目(2016YFC0105806)
四川省科技厅项目(2016FZ0066)
成都市科技惠民项目(2015-HM01-00221-SF).
关键词
股骨
骨折
骨折固定术
内
Femur
Fractures,bone
Fracture fixation,internal
