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股骨颈骨折全英文教学版陈芒芒ppt课件
compressive internal fixation Bone grafting+IF ①free bone graft ②pedicle bone graft: Sartorius musculoskeletal flapquadratus femoris muscle pedicle bone graft Hip joint replacement Subcapital in elderly people、old fracture、nonunion/AVN(avascular necrosis of femoral head) Total hip arthroplasty Hemiarthroplasty Unipolar Bipolar Historically,higher dislocation rate More invasive Hemiarthroplasty Total hip arthroplasty Expectation 20-30% patient will die within 1 year of surgery 3% in-hospital mortality rate Up to 30% require revision surgery Expectation 这里的原话,我觉得翻译下好。 As the prolonged lifespan The rate of fracture Problem:AVN,nonunion,BUT chance. Q1:??? Thanks Femoral Neck Fractures---a changing paradigm Department of Orthopaedics---Mangmang Chen Definition 1 one of the most commonly treated orthopaedic injuries,3.58% 2 increasing number of femoral neck fractures. Longer lifespan of patients Increased activity of patients Osteoporosis 3(这里可以放一些图片) Demographics: Most 75y Over 1 million femoral neck fractures were treated in the 65 year old population in the US Between 1991-2008. (有一张图片最好,地图分布图) Hip Fractures:Demographics Very heterogeneous patient population Can ranger from independent mobile,healthy elderly patients Vary degress of dementia(1分38的时候看不懂) 110°~140°,average 127° 。 140 ° coxa valgus 110 ° coxa vara Anatomy Collodiaphysial angle Axis… Anatomy Collodiaphysial angle Axis… Elderly people:indirect violence——low energy damage Young adults: indirect violence——high energy damage nonunion10%-20%( shear force greater ),AVN20%-40%(Blood supply) femoral neck?anteversion The axis of the femoral neck and femoral coronary forming Angle,12°~15° Anatomy ① Small artery :Femoral head round ligament ,1/20 ②shaft of the femur;nutrient artery ③ the?artery?ring?on the?fundus?of?neck?of?femur : medial femoral circumflex artery; lateral femoral circumflex artery ;The main source , 2/3 - 4/5 Anatomy Blood supply Blood supply Anatomy medial femoral c
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