大转子

臀中肌支起点至入肌点的距离为（3.5±0.8）cm，血管在近臀中肌止点处有小动脉穿出至大转子上部和外侧面。

The length of the middle gluteal branch from origination to the middle gluteal muscle was ( 3.5 ± 0.8 ) cm , it was distributed over the upper and lateral part of the greater trochanter after crossed the muscle .

结论前外侧肌间隙入路皮肤切口方向应从大转子前结节指向髂前上棘后方6cm；

Conclusion Anterolateral muscle sparing approach should be located from the tubercle of greater trochanter to 6 cm posterior of anterosuperior iliac .

结果在PP型，低体重是股骨颈、大转子骨密度的危险因素；

Results In PP genotype patients , lower body weight was the risk factor for low BMD in neck and trochanter .

50岁以上骨质疏松症患者股骨颈、大转子、Ward三角区骨密度较正常组显著下降（P0.01）。

In the patients with osteoporosis over 50 years , the bone mineral density in neck , trochiter and Ward triangle was significantly lower than that of the normal group ( P 0.01 ) .

有3例出现围手术期并发症：1例为假体取出时大转子骨折，1例为术后2d脱位并成功闭合复位，1例为伤口深部感染需要再次清创。

Only 3 peri-operative complications occurred , including 1 great trochanter fracture during implant removal , 1 dislocation 2 d after operation with successful closed reduction , and 1 deep wound infection which necessitated reentry and debridement .

目的：探讨AO空心针加带旋股内动脉深支股骨大转子骨瓣治疗股骨颈骨折的方法。

Objective : To explore 17 cases of the femoral neck fracture treated with compressed hollow screws uniting the great trochanter bone flap pedicled with the deep branch of the medial circumflex artery .

方法本组17例，均使用AO空心针固定加带旋股内动脉深支大转子骨瓣修复，术后制动3周。

Methods : The 17 cases were treated with compressed hollow screws uniting the great trochanter bone flap pedicled with the deep branch of the medial circumflex artery , patients were immobilized for 3 weeks after operation .

结果阿仑膦酸钠治疗6个月后，患者腰椎2-4、股骨颈、wards三角及大转子骨密度显著增加，增幅分别达4.1%、2.5%、3.3%及2.4%（均P<0.001）。

Results BMD at Lumbar 2-4 , Neck , Wards and Trochanter sites were significantly increased by 4.1 % , 2.5 % , 3.3 % and 2.4 % res p ectively ( P < 0.001 ) .

结果（1）Ward三角区、大转子的骨密度峰值出现最早，为20～24岁，前臂中远1／3处出现最晚，为40～44岁。

Results ( 1 ) The BMD value of Ward 's triangle and major trochanter peaked early at the age of 20 ~ 24 , while that of the one third mid distal forearm peaked late at 40 ~ 44 years old .

结果：骨转移瘤组L2、L3、L4，右股骨颈，右Ward区和右大转子BMD显著下降（P<0.05～P<0.001）。

Results : In carcinoma patients with bone metastasis group L2 , L3 , L4 , BMD of right neck of femur and right ward region decreased significantly ( P < 0.05 ~ P < 0.001 ) .

骨髓转化系数（MCI）值为T1WI干骺端信号强度与大转子信号强度的比值。

The marrow conversion index ( MCI ) was the ratio of the marrow signal intensity of the proximal femoral metaphysis ( SM ) to that of the greater trochanter ( ST ) .

结果电解铝工人骨密度有不同程度的降低，从轻到重依次是股骨大转子、股骨颈、股骨三角区、腰椎L2、腰椎L3、腰椎L4。

Results The skeleton density of the electrolysis aluminium workers was reducted , and from gently degree to heavily degree , it involved femur rotor , femur neck , femur triangle area , L2 , L3 and L4 .

治疗前后患儿股骨近端（股骨颈，大转子，Ward′s三角）、脊柱区域（2～4）和前臂（前臂远端和近侧端）的BMD无显著降低。

There was no significant decrease in BMD before and after treatment at the hip ( neck of femur , trochanter of femur , Ward ′ s triangle ), the lumber area of the spine ( L2-4 ) and forearm ( ultradis , distal ) .

阿仑膦酸钠治疗6个月后，腰椎2～4、股骨颈、Wards三角区及大转子部位BMD值有显著上升，增加率分别达49%、34%、53%及36%。

BMD values of Lumbar 2 ~ 4 , Neck , Wards and Trochanter sites were significantly increased by 4.9 % , 3.4 % , 5.3 % and 3.6 % respectively after 6 months of treatment . No change was found in serum calcium concentration .

臀下动脉大转子支管径1.4±0.5mm，长5.2±0.8cm，常与旋股内侧动脉深支吻合。

The greater trochanter branch of the inferior gluteal artery often anastomosis with the profound branch of the medial circumflex artery , its external diameter and the length was 1.5 ± 0.5 mm and 5.2 ± 0.8 cm .

自体浓缩骨髓取自体，用肝素化的注射器在股骨大转子处穿刺抽取骨髓2～3mL，低温离心机以1500r/min离心，获浓缩骨髓0.5mL备用。

Concentrated autologous bone-marrow was harvested from the tested rabbits . 2 to 3 mL bone marrow was extracted from the femoral bone with injector treated by heparin . Centrifugation was performed at 1 500 r / min , 0.5 mL concentrated bone marrow was obtained .

旋股内侧动脉深支管径为1.7±0.5mm，长3.3±0.7cm，其筋膜支和骨膜支是大转子的主要营养血管。

The external diameter and length of the profound branch of the medial circumflex femoral artery averaged 1.7 ± 0.5 mm and 3.3 ± 0.7 cm . The fascial and periosteal branches were the major nourishment artery to the greater trochanter .

大转子区筋膜骨膜血管分布及其临床意义

Vascular distribution of the fascia and periosteum of the greater trochanter

切取大转子条状骨瓣后股骨近端的生物力学研究

Biomechanical Study of Proximal Femur after Excision of Creat Trochanter Bone-Flap

带血管蒂大转子骨瓣修复股骨颈的应用解剖

Applied Anatomy of repairing Neck of Femur with Greater Trochanter Flap

第一穿动脉升支大转子骨瓣移植术

Transfer of greater trochanter pedicled with ascending branch of the

大转子延长截骨在股骨柄翻修术中的应用

The application of extended greater trochanteric osteotomy in artificial femoral component revision

重建大转子区感觉的应用解剖

Applied anatomy for sensory reconstruction in greater trochanter region

股骨大转子骨-骨膜瓣的临床应用

Clinical application of pertrochanteric osseous and periosteum flap

带血管蒂的大转子骨与筋膜瓣转移髋关节成形术

Arthroplasty of hip with transposition of greater trochanter and fascial flap with vascular pedicle

股骨头及大转子骨化中心一旦出现即为黄骨髓信号。

The femoral head and the greater trochanter showed yellow marrow signals after ossification .

动力髋螺钉三联绞刀大转子下扩孔病灶清除植骨治疗股骨头颈部囊性变1例

Dynamic hip screw triple reaming for clearence of femoral head and neck cystic lesion

结果：股深动脉、旋股内侧动脉和旋股外侧动脉均可以股骨大转子平面为标志分为上、下两型。

The types and locations of deep femoral arteries and their branches were observed and determined respectively .

方法：采用带旋股外侧血管横支为蒂大转子骨瓣加松质骨镙钉内固定，治疗成年股骨颈骨折8例。

Methods 8 cases were treated by lateral circumflex femoral vessels bone graft and compression-screw internal fixation .

以第一穿动脉升支为蒂的大转子骨瓣的应用解剖

Applied anatomy of the greater trochanter bone flap pedicled with the ascending branch of the first perforating artery