股骨转子间骨折术后股骨头缺血性坏死1例报告
Orthopedic Journal of China（2021）
Abstract
股骨转子间骨折非常常见,其不同于股骨颈骨折,作为关节囊外骨折,极少出现术后股骨头缺血性坏死.本科收治1例老年股骨转子间骨折术后股骨头缺血性坏死病例,现报道如下,以增加对股骨转子间骨折术后股骨头缺血性坏死的认识. 1 临床资料 患者,女,78岁,行走时摔伤致右髋关节疼痛、肿胀、活动受限4h来院.既往高血压病史,否认冠心病、糖尿病、类风湿相关病史.入院查体:右髋关节肿胀、压痛明显,存在外旋、外展、短缩畸形,远端肢体活动、感觉、血运正常.X线片检查(图1a)示:右侧股骨转子间骨折,AO/OTA分型31-A2.2.
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