摘要
目的 通过研究三枚空心拉力螺钉经皮治疗股骨颈骨折临床操作方法 ,手术前后注意事项 ,达到提高临床疗效 ,减少股骨颈骨折的并发症。方法 本组 4 1例均为新鲜股骨颈骨折 ,经术前牵引复位 ,在牵引状态及C型臂机透视下 ,从患肢大腿外侧穿刺 ,与股骨成 2 0°～ 3 0°角的方向交叉钻入导引针 ,定位正确后 ,再分别拧入 3枚空心拉力螺钉。结果 随访 2年 2个月～ 13年 2个月 ,采用北京积水潭医院疗效评定标准 ,4 1例中愈合 3 9例 ,愈合率 95 12 %,发生股骨头缺血性坏死6例 ,占 14 63 %。结论 术前良好的复位 ,术中选择合适的螺钉 ,正规的操作 ,是手术成功的关键 ,骨折愈合的基础。术后早期不负重 ,正确的康复锻炼是降低股骨头缺血性坏死发生率的必备条件。
Objective To improve the curative effect and reduce the complication of femoral neck fracture through studying the clinical performance of percutaneous three cannulated screws fixation Methods After reduction by preoperative traction,with the aid of C arm X ray device,41 cases of fresh femoral neck fracture were fixed with 3 cannulated lag screws which were inserted laterally along its guide pin at an angle of 20°～30° degrees with the shaft of the femur.Results After follow up of 2 years and 2 months to 13 years and 2 months,39 cases healed(the rate of healing were 95.12%) and necrosis of femoral head occurred in 6 cases according to the criteria of Beijing Jishuitan Hospital.Conclusion The excellent preoperative reduction,suitable screw fixation,and standard manipulation were the key points of success;of operation while the postoperative rehabilitation and rational medicine administration were the prerequisites of reducing the incidence of avascular necrosis of the femoral head.
出处
《中国骨伤》
CAS
2001年第10期579-581,共3页
China Journal of Orthopaedics and Traumatology
关键词
骨折固定术
股骨颈骨折
并发症
治疗
Fracture fixation,internal Femoral neck fractures Complications
