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在股骨颈囊内骨折的治疗中,准确复位是极其重要的。本文简要列举了常用的7种复位方法,着重介绍其中的Wellmerling方法。人们之所以更喜欢用Wellmerling法,在于它的实用性、治疗效果的可预期性以及治疗选择上的灵活性。用Wellmerling法复位过程中需要骨折床台和影象增强仪。病人麻醉后仰卧在置有会阴柱的骨折台上,两小腿彼此平行,双足绑在足垫板上,患侧保持骨折后的外旋位。调节双小腿的牵引力不使骨盆倾斜,进一步牵引患肢使之比健侧长0.64 cm。患腿上的足垫板是自由能动的。医生站在患髋的侧面,一侧前臂放在大腿前面靠近腹股沟处,另一侧前臂置于大腿
In the treatment of femoral neck fracture, accurate reset is extremely important. This article briefly lists seven commonly used reset methods, highlighting the Wellmerling method. The reason why people prefer to use the Wellmerling method is its utility, the predictability of the therapeutic effect and the flexibility of the treatment options. Fracture beds and image intensifiers are required during the Wellmerling procedure. After anesthesia, the patient was supine on the fracture table with the perineal column. The two legs were parallel to each other. The feet were tied to the foot plate and the ipsilateral external rotation position was maintained after the fracture. Adjusting the traction of the double calves does not tilt the pelvis, further pulling the affected limb to 0.64 cm longer than the healthy side. Foot pads on the legs are free to move. Standing on the side of the hip suffering from the doctor, one side of the forearm on the front of the thigh near the groin, the other side of the forearm placed thigh