摘要
目的:探讨手术治疗股骨干骨折合并同侧股骨颈骨折的疗效。方法:回顾分析2000年5月—2011年5月收治的20例股骨干骨折合并同侧股骨颈骨折患者的临床资料。20例患者中,术前诊断为股骨干骨折合并股骨颈骨折18例,其中13例采用股骨重建髓内钉同时固定股骨干骨折和股骨颈骨折,5例采用空心螺钉固定股骨颈骨折、钢板固定股骨干骨折;术前诊断为股骨干骨折而漏诊股骨颈骨折的2例,术中均采用髓内钉固定,术后发现合并股骨颈骨折后,其中1例加用空心螺钉治疗,另1例更换为重建髓内钉治疗。结果:所有患者术后均获得随访,随访时间1～7年,平均1.5年。19例于术后16～32周骨折愈合,平均愈合时间为20周;1例在术后1年时股骨干骨折仍未愈合,经再次植骨后24周愈合;所有患者均未出现股骨头坏死。结论:对于股骨干骨折合并同侧股骨颈骨折,只要选用合适的内固定材料严格按规范操作,仍可以取得良好疗效。
Objective：To investigate the effect of surgical treatment on patients with ipsilateral femoral neck and shaft frac- tures. Methods：A retrospective study of 20 cases with ipsilateral femoral neck and shaft fractures from May 2000 to May 2011 was done. Among the 18 cases who were clearly diagnosed before operation, 13 cases were given reconstruction nailing of both shaft and neck, 5 cases were given cancellous screw fixation for the neck and limited contact dynamic compression plate（LC- DCP） fixation for the shaft. Both of the 2 cases who were misdiagnosed before the first operation were fixed with intramedul- lary nail originally. After ipsilateral femoral neck fracture was diagnosed, second operations were done to them. One case was fixed with cancellous screw, another case was fixed with reconstruction nail. Results： All cases have been followed up for 1 to 7 years （with an average of 1.5 years）. The femoral shaft fractures were healed at 16 to 32 weeks （with an average of 20 weeks） after operation in 19 cases. The femoral shaft fractures failed to heal in 1 case even at 1 year after the operation, and after bone grafting , the patient was healed 24 weeks later. Femoral head necrosis did not occur in any cases. Conclusions： Satisfactory clini- cal effect can be achieved through rational and reliable internal fixation in iosilateral femoral shaft and neck fractures.
出处
《中国临床医学》
2012年第6期645-647,共3页
Chinese Journal of Clinical Medicine
关键词
股骨干骨折
股骨颈骨折
内固定术
Femoral shaft fractures Femoral neck fractures
Internal fixation
