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两枚空心钉内固定治疗青壮年股骨颈骨折 被引量:4

Two Cannulated Screws Fixation for the Young Adults Femoral Neck Fracture
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摘要 目的:评价闭合复位经皮两枚空心钉内固定治疗青壮年股骨颈骨折的临床效果。方法:对50例青壮年新鲜股骨颈骨折患者行闭合复位经皮两枚空心钉内固定术治疗。结果:50例患者均获随访,随访时间18~36个月,平均28个月。6例发生股骨头缺血性坏死,无骨不连发生。疗效根据Harris评分标准评价:优28例,良15例,可5例,差2例,优良率为86.0%;空心钉内固定治疗治疗后Harris评分(86.25±1.26)分明显高于治疗前(43.14±0.21)(P〈0.05)。结论:闭合复位经皮两枚空心钉内固定是治疗青壮年股骨颈骨折的有效方法,骨折端良好的复位及空心钉的置入位置是取得满意疗效的基础。 Objective:To evaluate the clinical effect of close reduction and internal fixation with two can-nulated screws for the treatment of young adults femoral neck fracture.Methods:50 young adults patients with fresh femoral neck fractures were treated with two cannulated compression screws combined with closed reduction.Results:All the patients were followed up for 18 to 36 months with an average of 28 months.6 ca-ses with femoral head necrosis occurred,and no nonunion occurred,According to Harris score system,28 ca-ses were excellent,15 good,5 fair,and 2 poor.The excellent and good rate was 86.0%.Conclusion:Two can-nulated screws combined with closed reduction is a effective method for the treatment of young adults femo-ral neck fracture.Good reduction of fracture end and the placement of the cannulated screws are the basis of satisfactory effects.
出处 《数理医药学杂志》 2016年第7期1077-1078,共2页 Journal of Mathematical Medicine
关键词 股骨颈骨折 骨折固定术 空心钉 femoral neck fracture fracture fixation internal cannulated screw
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