摘要
目的探讨应用可吸收螺钉治疗股骨头骨折伴髋关节后脱位的效果。方法髋后外侧入路手术治疗26例股骨头骨折伴髋关节后脱位患者,股骨头骨折均采用可吸收螺钉固定;Ⅲ型合并股骨颈骨折者采用钛质空心螺钉固定,Ⅳ型合并髋臼骨折者采用髋臼三维记忆内固定系统固定髋臼骨折。结果26例均获随访,时间15～48个月。按D′Aubigue-Postel评分法:优10例,良13例,中1例,差2例(1例股骨头缺血性坏死,1例股骨头缺血性坏死合并髋周异位骨化)。未出现可吸收螺钉断裂及异物反应现象,无深部感染及创伤性关节炎等并发症发生。结论股骨头骨折伴髋关节后脱位采用髋后外侧入路、可吸收螺钉及髋臼三维记忆内固定可获得理想的治疗效果。
Objective To study the treatment of femoral head fractures associated with posterior dislocation of hip by absorbable screw. Methods 26 cases of femoral head fractures associated with posterior dislocation of hip were treated in our hospital. Fractures were all fixed with absorbable screws, and type Ⅲ with femoral neck fractures were treated canulated screw and type Ⅳ with acetabular fractures were fixed with acetabular tridimensional memory alloy fixation system. Results All the patients were followed up for 15 -48 months. According to D＇Aubigue-Postel system, the results were excellent in 10 cases, good in 13, fair in 1 and poor in 2. Complications included avascular necrosis of the femoral head （ 1 case）, heterotopic ossification （ 1 case）. No deep infection or traumatic arthritis was found. Conclusions Early diagnosis, better visualization through Kocher-Langenbeck approach in the operation and ability to internally fix these fractures with absorbable screws can provide satisfactory outcome.
出处
《临床骨科杂志》
2008年第4期349-350,共2页
Journal of Clinical Orthopaedics
关键词
髋脱位
股骨骨折
骨折固定术
内
可吸收钉
hip dislocation
femoral fractures
internal fixation
absorbable screw
