摘要
目的探讨用带旋髂深血管蒂髂骨瓣转移治疗青壮年陈旧性股骨颈骨折的疗效。方法采用经前路切开复位带旋髂深血管蒂髂骨瓣转移及多螺钉内固定治疗青壮年陈旧性股骨颈骨折３６例。结果经１．５～５年随访，优良率为８９．２％，股骨头无菌性坏死率为３％，疗效满意。结论带旋髂深血管蒂髂骨瓣具有充足血供，能明显提高股骨颈骨折的治愈率，减少股骨头无菌性坏死的发生，对治疗青壮年陈旧性股骨颈骨折有重要价值。
Objective To study whether the treatment of old femoral neck fracture in young adults could be improved with pedicled bone flap transposition of deep iliac circumflex blood vessel. Methods 36 cases of old femoral neck fracture in young adults were treated by multiple screws and iliac osteoperiosteal flap pedicled with deep iliac circumflex blood vessel. Results 89 2 percent had excellent outcomes on following up for 1 5￣5 years. The rate of ischemic necrosis of femoral head was 3 percent. The curative effects of clinical application (in 36 cases) were satisfactory. Conclusion The pedicled iliac osteoperiosteal flap possesses adequate supply of blood. It can improve the healing of the fracture and reduce the rate of avascular necrosis of femoral head. It is a valuable method to treat old femoral neck fracture in young adults.
出处
《临床骨科杂志》
1998年第1期39-40,共2页
Journal of Clinical Orthopaedics
关键词
股骨颈骨折
骨折固定术
内
骨移植
带血管蒂髂骨瓣
femoral neck fracture
fracture fixation,internal
bone transplantation
vascularized pedicle bone flap
