整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
外傷性股関節脱臼に伴った大腿骨頭骨折の治療経験
原 道也柴田 陽三浅川 康司後藤 三晴野見鬆 宏西野 一郎内藤 正俊緒方 公介
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1994 年 43 巻 1 号 p. 260-267

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Six cases with femoral head fractures associated with traumatic dislocation of the hip were treated during 1990-1993. The patients ranged in age from 18 to 52 years (mean: 34 years), and were evaluated on average 1.3 years after surgery. Femoral head fractures were classified into 4 Types according to Pinpkin's classification; 1 in Type I, 2 Type II, 3 in Type IV. Two cases were treated by internal fixation with Herbert bone screws and 4 cases with bone pegs.
JOA hip score and Epstein's classification were used for clinical assessment. The postoperative JOA scores averaged 96 points (90-100) and Epstein's classification were 4 Excellent and 1 Good. Avascular necrosis of the femoral head and osteoarthritis of the hip joint were not seen in any cases.
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