骨科英文书籍精读（244）｜股骨颈、干合并骨折
我们正在精读国外经典骨科书籍《Apley’s System of Orthopaedics and Fractures》，想要对于骨科英文形成系统认识，为以后无障碍阅读英文文献打下基础，请持续关注。
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Combined fractures of the neck and shaft
Young patients with high-energy fractures of both the femoral neck and the ipsilateral femoral shaft present a special problem. Both fractures must be fixed, and there are several ways of doing this. The femoral neck fracture takes priority as complications following this fracture are generally more difficult to address than those of the shaft fracture. Anatomic reduction and stable fixation of the femoral neck fracture must not be compromised in order to accommodate fixation of the shaft fracture. The femoral neck fracture is reduced using closed or, if necessary, open methods. The fracture is fixed using multiple screws. The femoral shaft fracture can then be managed with a retrograde locked intramedullary nail (inserted through the knee) or by a lateral plate inserted in a submuscular fashion.
---from 《Apley’s System of Orthopaedics and Fractures》
重点词汇整理：
ipsilateral /ˌɪpsəˈlætərəl/adj. 身体的同侧的
retrograde locked intramedullary nail带骨栓逆行交锁髓内钉
retrograde /ˈretrəɡreɪd/adj. 倒退的；退化的；次序颠倒的vt. 使倒退vi. 逆行；倒退；退步adv. 倒退地；向后地
fashion /ˈfæʃn/
n. 时尚；时装；样式；方式；时髦人物vt. 使用；改变；做成…的形状
百度翻译：
股骨颈、干合并骨折
同时伴有股骨颈和同侧股骨干高能量骨折的年轻患者有个特殊问题。两处骨折都必须固定，有几种方法。股骨颈骨折优先，因为骨折后的并发症通常比骨干骨折更难处理。股骨颈骨折的解剖复位和稳定的固定不能影响到骨干骨折的固定。股骨颈骨折可采用闭合式或开放式（如有必要）复位。压裂用多个螺钉固定。股骨干骨折可采用逆行交锁髓内钉（穿过膝盖插入）或以肌下方式插入侧板。