摘要
介绍一种发夹样骨圆针内固定治疗股骨颈骨折。此方法就是把斯氏针弯曲成发夹式样的针取代两根单一的斯氏针,这样就增加了股骨颈的应力和载荷,从而使固定更加牢固,骨折更易愈合。28例经1～9年的随访,疗效满意,愈合率为92.9％,股骨头缺血坏死率为10.7％。认为:此针的优点在于对血供及骨损伤小;并发症少;不退针;不穿入盆腔;抗旋转及抗拉力作用;值得推广使用,但此针仅适用于新鲜的股骨颈骨折。
Twenty-eight patients with femoral neck fracture had been treated with 'U' shape pin internal fixation. Following-up for 1~9 years, the results were quite satisfactory, the rate of bone union of all cases was 92.9% , while avascular necrosis of the femoral head occurred in 10.7 percent of all cases. The 'U shape pin was curved with single Steinmann' s pin, instead of two single Steinmann' s pins, which enhanced the resistances of femoral neck to stress and weight, therefore, it made the fixation stronger and the bone union more effective. The advantages of the 'U' shape pin were less injury to bony tissue and its blood supply, lass complication, no-loose pin, not - piercing into pelvis and resistances to rotational and pulling forces. The method is worthy of recommending for the management of fresh femoral neck fracture.
出处
《骨与关节损伤杂志》
1999年第2期83-84,共2页
The Journal of Bone and Joint Injury
