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Acetabular fractures on the concurrent treatment of ischemic necrosis
PAGE \* MERGEFORMAT 9
Acetabular fractures on the concurrent treatment of ischemic necrosis
Study: Sun Hongbin Wang Jianghua in Xiongwu
[Abstract] With the development of transportation in recent years, the incidence of acetabular fractures increases every year, but mostly high-energy injuries caused by a large shift, reset problems, treatment more difficult, often occurs a number of surgical complications. Ischemic necrosis (Avascular Necrosis, AVN) both occurred in the femoral head, can also occur in the acetabulum and hip.
[Keywords:] acetabular fracture treatment of avascular necrosis (A) of avascular necrosis 1. Epidemiology Femoral head dislocation, the early reduction will reduce the necrosis rate is still controversial, but certainly the femoral head does not hurt in the early reset. And violence, the stronger the higher the rate of collapse consistent with the fact that the young than the old rate for the femoral head collapse high. avascular necrosis of the process, once started, even after 3 to 6 months does not load, it would be difficult to contain the blood supply of the femoral head the development of unhealthy tendencies. In making continuous preoperative and postoperative skeletal traction to reduce the joint cavity pressure, can reduce its incidence.
2. Clinical manifestations (1) symptoms of avascular necrosis of the main symptoms of hip pain, began to dull pain often insidious, often located in the groin area and can be radiation to the thigh down, hip, knee, and some back pain occurs, About 1 / 3 fat as intermittent pain in patients with sudden pain, and suddenly disappear, sometimes acute. Most of the patients pain than the performance of X-ray abnormalities appear as early as 2 to 6 months, but early X-ray changes in pain The attack is also not uncommon. good radiography X ray camera technology, including CT, early diagnosis. the disease early can maintain normal joint function, range of activities, but ulti
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