摘要
目的探讨空心螺钉内固定治疗青壮年股骨颈骨折的临床疗效。方法采用空心螺钉内固定治疗青壮年股骨颈骨折29例。结果随访时间1-4年,平均2.1年,获得随访者28例,平均骨折愈合7.5个月,髋关节功能优良率93%,股骨头坏死1例。结论空心螺钉内固定是治疗青壮年股骨颈骨折的有效方法,能提高骨折愈合率,降低股骨头坏死率。
Objective To explore the clinical therapeutic effect of using cannulated screw fixation to remedy the femoral neck fracture(FNF) in young adults. Methods Twenty-nine FNF patients were treated by using cannulated screw fixation from 2000 to 2004. The age ranged from 14-52 years and averaged 32 years. Twenty-seven cases belonged to fresh fractures and 2 cases to old fractures. Garden Ⅱ fractures were involved in 6 cases, Garden Ⅲ in 17,and Garden Ⅳ in 6. Results The patients were followed up for 2.1 years on average. The average cure time was 7.5 months. The total rate of good or fair results was 93%. One patient had a sequel of ischemic necrosis of the femoral head. Conclusion Cannulated screw fixation is an effective remedy for femoral neck fracture in young adults. It can improve the rate of fracture union and reduce the rate of avascular necrosis of the femoral head.
出处
《西部医学》
2007年第3期395-396,共2页
Medical Journal of West China
关键词
股骨颈骨折
空心螺钉
内固定
Femoral neck fracture
Cannulated screw
Internal fixation