????? (femoral neck fracture) - PowerPoint PPT Presentation

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Title:

????? (femoral neck fracture)

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(femoral neck fracture) 1 3.58% 2 ... – PowerPoint PPT presentation

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Title: ????? (femoral neck fracture)


1
????? (femoral neck fracture)
2
  • ??????????????????
  • ??1,??,?3.58
  • 2,??,??????(????)
  • 3,????10-20(????),???20-40(????
    )

????????????????? ?????????????????
3
???
Anatomy
??????????????????
110140,??127 ? gt140 ??? lt110 ???
4
???
Anatomy
  • ?????????????????
  • ???1215

5
??????
Anatomy
???????????,??????,1/20 ?????????? ?????????????
??????????????????,?????????, 2/3 - 4/5
6
??????
Anatomy
???????????????,?????????????????
  • ?????????????????????????

7
?????
???????
  • ???
  • ???
  • ???

??????????,????????,????????????????
8
?X???(Pauwels??)
???????
  • ??????????(???)?????
  • ????,??????,???????????,???????

9
?X???
???????
  • ??? Pauwels?lt 30??
  • ??? 30 lt Pauwels?lt 50
  • ??? Pauwels?gt50???

10
?????(Garden??)
???????
  • ?????
  • ???????
  • ??????,???
  • ??????,????
  • ??????,????

11
???????
  • ????? 
  • ??
  •     1.??????45 60?
  •    2.??????,????????
  • 3.?????????

12
????
????????Nelaton??? (???)
Bryant?????? (???)
13
?????
  • X?????,??????
  • ??CT????
  • MRI?????

14
Femoral Neck Fracture
????,?????,????,??????? X??????????????? MRI????
????? ???????
15
?????????
????? ???????
???? 4560 90
???? ?????? ????
?? ???? ????
16
??
  • ?????????
  • 1.????
  • 2.??????
  • 3.????

17
???????????? ????????
??????
  • ????????812?,3?????????,6??????

18
????
  • ???????????,???????X?,??????,???????????????,?????
    ???????????????????,?????,?????????????????
  • ?????????????,???????????????????????

19
???????????
  • ?????????,??????,???????,?????????
  • ???????gt65?,?????,??????,???????,???????

20
???
  • ??X??(C?)?,??????????????????????????,????????????
    ??????

1,??????2,??????
21
1 ????90,??????????2 ??????? 3 ??????,????? 4
?????,?????
22
???
  • ????????????????,??????????????
  • Smith-Petersen???
  • ???? ????
  • ????? ???

23
???
  • ??????
  • ????,???????????,????????????

24
??????(DHS)
25
??????
26
??????
27
?????
  • ????????
  • ?????
  • ????????????????????????????????

28
???????
  •  ??????????????????????????????
  • ????????
  • ???????

29
???????(????)
30
????????(????)
31
??
  • ???????????,???????,????????????,??????????????,??
    ?????????,?????????????,??????????????????????????
    ?,?????????
  • ????,????!

32
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