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加压螺钉和大转子骨瓣治疗青壮年股骨颈骨折临床观察

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摘要 目的观察加压螺钉和大转子骨瓣治疗青壮年股骨颈骨折疗效。方法运用加压螺钉和股骨大转子骨瓣移位植骨技术,治疗GardenⅢ、Ⅳ型青壮年股骨颈骨折102例。结果髋关节功能恢复优良率73.5%,骨折愈合率100%;无固定失败病例,发生股骨头缺血性坏死25例(24.5%),其中在21例陈旧性股骨颈骨折中,发生股骨头缺血坏死11例(52.4%)。结论加压螺钉能使骨折结合紧密、固定牢固,利于早期髋关节功能锻练,促进骨折愈合和功能恢复;带血管蒂大转子骨瓣移位植骨,能重建股骨头血运,促进骨折愈合,降低股骨头缺血性坏死率。
出处 《临床外科杂志》 2006年第9期589-589,共1页 Journal of Clinical Surgery
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