摘要
从1988年1月~1993年1月应用经皮空心加压螺纹子母钉治疗股骨颈骨折142例,随访平均34个月,治疗结果优良率92.9%(132/142),6例不连接(4.2%),4例缺血性坏死(2.9%),效果满意。这种螺纹钉中央有孔道,引道直径为1.5~2.5mm,螺纹分为10mm、20mm及25mm三种,钉长度有80~120mm规格,共九个品种,供选择应用。经生物力学测试,母钉弹簧具有0.6~1.2Kg的压力,子钉具有0.5Kg的压力,符台临床应用标准,这种手术方法安全、简单,骨不连发生率低。
AbstractFrom Jan 1 988 to 1 993. 142 cases of femoral neckfractrure were managed with percutaneous compres-sion screw complex technique. Follow-up averaged 34months. the results were quite satisfactory:92. 9 per-cent (1 32/142) of the cases ranked as good or excel-lent. while non-union and avascular necrosis of thefemoral head occured in the remaiming 6(4.2%) and 4(2.9%) cases respectively.There was a tunnel inside the screw. with an in-ner diameter of 1.5~2. 5 mm.The screwthread were10.20 or 25 mm in length. The length of the screwvaried from 80 to 120 mm. there were 9 types of screwin different sizes for selection. The biomechanics testshowed us that the spring of the main-screw couldstand 0.6~1. 2kg of pressure. while that of the sub-screw could stand 0. 5kg. All met the clinical applica-tion standards, The method was found to be safe andsimple with a low incidence of non-union.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1995年第3期139-141,共3页
Chinese Journal of Orthopaedics