摘要
目的:探讨带蒂骨方肌骨瓣移植联合空心加压螺钉治疗青壮年股骨颈骨折的临床效果。方法自2010年1月~2012年12月,我院收治21例青壮年股骨颈骨折患者,采用髋关节后外侧切口,切开复位后用空心加压螺钉固定以及移植带蒂股方肌骨瓣治疗。结果21例患者均获得随访,随访3~36个月(平均15.9个月),所有病例均达到骨性愈合。按Harris髋关节功能评分结合X线片情况:优12例,良6例,中2例,差1例,优良率达到85.7%。结论股方肌骨瓣移植联合空心加压螺钉治疗股骨颈骨折可有效防止骨不连,可在临床上推广应用。
Obiective To investigation the clinical ef ect of quadratus femoris muscle pedicle bone graft combined with hol ow compression screws fixation in the treatment of femoral neck fracture.Methods From 2010.01~2012.12,21 cases of femoral neck fracture in young adults were treated in our hospital,Lateral incision of the hip joint,After open reduction with hol ow compression screws and combined with quadratus femoris muscle pedicle bone graft.Results Al patients were fol ow-up from 3~36 months.(average 15.9 months).Al patients with fracture were healed.According to the Harris scores system:12 cases were excellent,6 cases were good,2 cases were fine 1 case was bad,The rate of excellent and good was 85.7%.Conclusion The treantment of femoral neck fracture by quadratus femoris muscle pedicle bone graft combined with hol ow compression screws can prevent nonunion Ef ectively.This technical can be widely applied in clinical practice.
作者
施纯南
王志杰
吴金凤
张金山
李懿
庄志伟
SHI Chun-nan;WANG Zhi-jie;WU Jin-feng;ZHANG Jin-shan;LI Yi;ZHUANG Zhi-wei(Fujian Province Jinjiang City Hospital,Department of Orthopaedics,Jinjiang,Fujian 362200,China)
关键词
股方肌骨瓣移植
空心加压螺钉
股骨颈骨折
Quadratus femoris muscle pedicle bone graft
Hollow compress screw
Femoral neck fracture
