摘要
目的:探讨空心钉内固定联合股方肌蒂骨瓣移植治疗中青年囊内型股骨颈骨折的疗效。方法:对1998年1月～2008年1月收治的55例中青年囊内型股骨颈骨折患者,分成空心钉内固定联合股方肌蒂骨瓣移植组(联合术式组)30例和单纯空心钉组25例进行治疗。术后随访7月～8年,平均3.6年。并对二组疗效进行对比分析。结果:联合术式组,术前准备时间短,但手术时间较长,其复位质量、愈合率、髋关节功能Harris评分均优于单纯空心钉组,(P<0.01),股骨头坏死发生率低于单纯空心钉组(P<0.01)。结论:空心钉内固定联合股方肌蒂骨瓣移植治疗中青年囊内型股骨颈骨折的疗效优于单纯空心钉固定组。
Objective：To observe the effect of hollow--screw internal fixation combining bone flap with quadratus femoris pedicle transplatation in treating intracapsular femoral neck fracture （IFCF） in young and middle--aged patients. Methods： From Jan 1998 to May 2008, 55 young and middle--aged cases of IFCF were enrolled in this study. Thirty of them received the combined therapy （hollow-- screw internal fixation combining bone flap with quadratus femoris pedicle transplantation）, while the other 25 were treated by hollow--screw internal fixation alone. All patients were followed up for 7 months to 8 years, 3.6 years on average. The effects of the two groups were compared at the end of the study. Results：Compared with hollow--screw internal fixation, the combination operation had shorter preparation time, longer operation duration, more excellent reduction, higher rate of bone healing, higher Harris score of the hip joint function （P〈0.01）, and lower rate of femoral neck necrosis （P〈0.01）. Conclusion：For the intracapsular fractures of femoral neck in young and middle-- aged, combination operation is better than simple operation in clinical effects.
出处
《中国中医骨伤科杂志》
CAS
2009年第1期45-47,共3页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词
股骨颈骨折
股方肌蒂骨瓣
治疗
中青年
Fracture of the femoral neck
Bone flap with quadratus femoris pedicle
treatment
Young and middle--aged
