FEMORAL-HEAD AVASCULAR NECROSIS ASSOCIATED WITH INTRAMEDULLARY NAILING IN AN ADOLESCENT

被引:110
作者
OMALLEY, DE [1 ]
MAZUR, JM [1 ]
CUMMINGS, RJ [1 ]
机构
[1] NATL NAVAL MED CTR, DEPT ORTHOPAED, BETHESDA, MD USA
关键词
FEMORAL HEAD NECROSIS; FEMUR FRACTURE; INTRAMEDULLARY NAILING;
D O I
10.1097/01241398-199501000-00005
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
An adolescent developed avascular necrosis of the femoral head after intramedullary nailing for a femoral diaphyseal fracture. This complication is most likely secondary to injury to the posterior superior ascending branch of the medial circumflex artery at the time of rod insertion. This artery is situated close to the proximal insertion hole just posterior to the trochanteric notch and piriformis fossa. Other methods of fracture treatment, either operative or nonoperative, should be considered in skeletally immature patients.
引用
收藏
页码:21 / 23
页数:3
相关论文
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