超声定位克氏针辅助复位治疗难复型股骨颈骨折

超声定位克氏针辅助复位治疗难复型股骨颈骨折

许新忠;荆珏华;张积森;徐春归;赵耀;叶曙明;方望;余水生;徐又佳

【期刊名称】《中华创伤杂志》

【年(卷),期】2016(032)009

【摘要】Objective To evaluate the effect of ultrasound-guided K-wire reduction of irreducible femoral neck fractures.Methods A retrospective analysis was made on 21 patients with irreducible femoral neck fractures hospitalized from January 2011 to January 2014.There were 13 males and 8 females,aged 23-60 years (mean,41.5 years).The fractures of nine patients were caused by road traffic accidents,seven by slipping,and five by fall from the height.According to the Garden classification,four patients were classified as type Ⅱ,eleven type Ⅲ,and six type Ⅳ.Patients were placed in traction bed for limb traction.After 3-times unsuccessful reduction with limb traction,the patients were performed ultrasound-guided localization of superficial femoral artery,vein and nerve in the hip,marked and stabilized with two K-wires into the surface markers.Position relations of femoral artery,vein and nerve with the femoral head were determined under fluoroscopic guidance.After operation,the part with K-wire insertion was routinely reviewed by ultrasound,the anterior and lateral positions of the hip joint were routinely reviewed,and the sensorimotor function of the area of femoral nerve and sense function of the anterolateral femoral