摘要
目的探讨新鲜股骨颈骨折个体化手术治疗策略与结果。方法 2005年1月～2011年1月,收治新鲜股骨颈骨折并获得完整随访资料者86例,男47例,女39例,年龄18～65岁48例,66～86岁38例,骨折按Garden分型:Ⅰ型23例,Ⅱ型25例,Ⅲ型26例,Ⅳ型12例;分别采用切开复位空心松质骨螺钉内固定22例,动力髋螺钉内固定26例,半髋关节置换30例,全髋关节置换8例。结果获得1～6年(平均3.1年)随访,内固定组48例,骨折愈合时间17～24周(平均20.5周),髋内翻5例,股骨头缺血坏死3例,优良率79.2%。关节置换组38例,早期脱位2例,切口感染1例,优良率84.2%。结论根据股骨颈骨折患者年龄、活动能力、骨密度值和骨折类型,选择个体化手术治疗术式,可取得较好疗效。
Objective To discuss the Individualized surgical treatment of fresh femoral neck fracture with strategy and outcome. Methods From January 2005 to January 2011 ,admitted femoral neck fracture and a complete follow-up information on 86 cases,they were 47 men and 39 women, age from 18 to 65 in 18 cases,from 66 lo 86 in 38 cases. By Garden classification type Ⅰ were 23 cases, type Ⅱ were 25 cases, type Ⅲ were 26 cases, type IV were 12 cases . 48 cases were used open reductiou. Of 22 cases with cannulated cancellous bone screws , 26 cases with dynamic hip screws. Hemi-hip replacement were 30 cases . ＇l＇ot~ hip replacement were 8 cases. Results 86 cases were followed up for I -6 years, with an average of 3. I year＇s. Internal llx- ation group 48 cases, the healing time 17 ～ 24 weeks （ an average of 20. 5 weeks） , the varus deformity of [lip in 5 cases, avaseutar necrosis of femoral head in 3 cases, and the excellent and good rate was 79. 2%. Hip joint replacement group 38 cases, early dislo- cation in 2 cases,incision infection in 1 case. and the excellent and good rate was 84. 2%. Conclusion With the age, bone density activity ability and fracture type of the patients to choose personalized surgical treatment plan, can get good curative effect.
出处
《四川医学》
CAS
2012年第12期2188-2190,共3页
Sichuan Medical Journal
关键词
股骨颈骨折
个体化
手术治疗
内固定
髋置换
femoral neck fracture
individualized
surgical treatment
internal fixation
hip replacement
