三枚螺钉内固定加囊内减压术治疗囊内移位型股骨颈骨折  

managing intracapsular displaced hip fractures with three-screw fixation plus capsular decompression

作　　者：沙磊[1,2] 耿庆贺[2] 

机构地区：[1]南京医科大学第一附属医院骨科,210029 [2]邳州市人民医院骨科

出　　处：《江苏医药》2009年第2期148-149,共2页Jiangsu Medical Journal

摘　　要：目的探讨三枚螺钉内固定加囊内减压术治疗股骨颈囊内移位型骨折的疗效。方法回顾性分析200例股骨颈囊内骨折患者的临床资料,随机分为减压组及对照组,每组100例。减压组行3枚螺钉固定加关节囊切开减压术;对照组单纯行3枚螺钉固定术。通过X线摄片观察股骨头坏死和骨不愈合的发生率。结果减压组有移位的68例患者中,发生股骨头无菌性坏死7例(10.3%),明显少于对照组的36.9%(24/65)(P<0.05)。结论采用三枚螺钉内固定联合囊内减压术治疗移位型股骨颈囊内骨折,能够降低股骨头无菌性坏死的发生率。Objective To compare the results of three-screw fixation plus capsular decompression with screw fixation alone for managing intracapsular hip fractures.Methods Two hundred patients with intracapsular hip fractures were equally divided into two groups.Patients in group A were treated with three-screw fixation plus capsular decompression and those in group B with three-screw fixation alone.The incidences of avascular necrosis of the femoral head and bone nonunion were diagnosed by X-ray examination.Results In...

关 键 词：股骨颈骨折 关节囊减压 骨折内固定 

分 类 号：R687.3[医药卫生—骨科学]