摘要
目的探讨空心钉加带双血管蒂大转子骨瓣移植治疗股骨颈骨折的临床效果。方法自2002年7月至2005年7月，采用空心钉加带双血管蒂大转子骨瓣移植治疗青壮年股骨颈骨折35例，术后6～8个月开始部分负重，术后11个月开始完全负重。结果35例随访15～52个月，平均25个月。33例骨折愈合，愈合时间7～11个月，平均8．2个月。Harris髋关节功能评分平均为92．6分。随访期间2例发生股骨头坏死，其中1例改行人工全髋关节置换，另1例行康复治疗。结论该手术方法疗效满意，是青壮年股骨颈骨折的一种有效治疗方法。
Objective To evaluated the clinical results of treatment of femoral neck fractures in young and middie-aged patients by using hollow screw fixation and greater trochanteric bone flap pedicled with double blood vessels. Methods Thirty-five femoral neck fractures were treated by using hollow screw fixation and greater trochanteric bone flap pedicled with double blood vessels from July 2002 to July 2005. Partial weight beating started on 6 to 8 months postoperatively and full weight beating on 11 months postoperatively. Results The mean duration of follow up was twenty-five months （range from 15 to 52 months） in all cases. Fracture healed successfully in 33 cases. The average time of fracture healing was 8.2 months （range from 7 to 11 months）. Harris hip joint function score was average 92.6. Two femoral head necroses were noted during the follow-up period. One of them was treated with total hip replacement postoperatively, another underwent the rehabilitative training. Conclusion This method has satisfactory results, and it＇s an effective method for the treatment of femoral neck fractures in young and middle-aged patients.
出处
《实用骨科杂志》
2007年第11期654-656,共3页
Journal of Practical Orthopaedics
关键词
股骨颈骨折
空心钉
大转子
骨瓣
外科手术
femoral neck fracture
hollow screw
greater trochanter
bone flap
surgical operation
