摘要
目的 总结中空加压螺钉内固定治疗老年股骨颈骨折的效果及特点。方法 1993年 11月～ 1998年10月治疗 5 2例各类型老年股骨颈骨折 ,男 2 5例 ,女 2 7例。年龄 6 0～ 83岁 ,平均 70岁。新鲜骨折 4 8例 ,陈旧性骨折 4例。行闭合复位内固定 4 2例 ,开放复位内固定 10例。结果 所有患者术后 4～ 6天可坐 ,10～ 15天能扶双拐离床部分负重行走 ,4周患髋活动接近正常。随访 2 6～ 84个月 ,平均 4 8.5个月。 5 0例达骨愈合 ,2例骨不愈合。平均愈合时间 4 .7个月。除 3例股骨头缺血性坏死外 ,无关节僵硬 ,肌肉萎缩等常见术后并发症。结论 此法手术操作简便 ,损伤小 ,固定牢 ,能早期离床 ,并部分负重 ,从而减少了老年股骨颈骨折后的常见并发症 ,是一种值得推广的有效方法。
Objective To summarize the clinical results of hollow compression screw in treatment of fracture of neck of femur in the aged. Methods From Nov ember 1993 to October. 1998, 52 aged patients with several types of fracture of neck of femur were treated; among them, there were 25 males and 27 females aged from 60 to 83 years (70 years on average). There were 48 cases of fresh fracture and 4 cases of old fracture. Forty two cases were performed closed reduction internal fixation , 10 cases with open reduction internal fixation. Results All the patients could sit by themselves 4 to 6 days after operation, and could walk with a crutch 10 to 15 days after operation. The mobility of hip joint was nearly normal 4 weeks after operation. All the patients were followed 26 to 84 months, 48.5 months on average. Bone union was achieved in 50 cases, nonunion in 2 cases. The average healing time was 4.7 months. There were no other complications, such as ankylosis and muscular atrophy, but ischemic necrosis in 3 cases. Conclusion This method has following advantages, convenient manipulation, less injury, stable fixation, and the short term recovery , which avoid some common complications. It is a reliable method worthy of popularizing.
出处
《中国修复重建外科杂志》
CAS
CSCD
2002年第4期268-270,共3页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
老年人
股骨颈骨折
中空加压螺钉
内固定
治疗
Aged Fracture of neck of femur Hollow compression screw Internal fixation
