股方肌骨瓣移植治疗青壮年股骨颈骨折  

Treatment of Femoral Neck Fractures in Young Adults with Quadratus Femoris Muscle Pedicled Bone

作　　者：吕波[1] 韩玉升[1] 孙良业[1] 谢晓东[1] 杨良军[1] 

机构地区：[1]六安市人民医院骨二科,安徽六安237005

出　　处：《实用骨科杂志》2005年第2期119-120,共2页Journal of Practical Orthopaedics

摘　　要：目的　探讨用股方肌骨瓣移植治疗青壮年股骨颈骨折的方法和疗效。方法　采用股方肌骨瓣移植加螺钉内固定,治疗青壮年股骨颈骨折16例。结果　术后随访1～3a,16例骨折均愈合,1例发生股骨头缺血性坏死。结论　该术式能提高青壮年股骨颈骨折的愈合率,避免发生骨不连和股骨头缺血性坏死等严重并发症,是带蒂植骨治疗股骨颈骨折较好的手术方法。Objective To study the effect of the treatment of femoral neck fractures in young and middle aged adults with quadratus femoris muscle pedicled bone. Methods 16 cases of femoral neck fractures in young and middle aged adults were treated by quadratus femoris muscle pedicled bone combined with multiple screws. Results It showed excellent outcomes after 1～3 years in 16 cases follow-up. The femoral neck fractures have been healed. There was 1 ischemic necrosis of femoral head. Their functions of the hips were satisfactory. Conclusion The technique can improve the healing of the femoral neck fractures in the young and middle aged adults and reduce the occurrence of nonunion and avascular necrosis of femoral head.

关 键 词：股骨颈骨折 移植治疗 青壮年 股骨头缺血性坏死 股方肌骨瓣移植 螺钉内固定 严重并发症 术后随访 手术方法 植骨治疗 愈合率 骨不连 

分 类 号：R683.42[医药卫生—骨科学] R617[医药卫生—外科学]