双头中空加压螺纹钉治疗股骨颈骨折  

Clinical study on the treatment of femoral neck fracture with hollow-double-head compression screw

作　　者：张开伟[1] 陈久毅[1] 刘金华[1] 

机构地区：[1]贵阳中医学院第一附属医院骨科,贵州贵阳550001

出　　处：《中国骨伤》2005年第11期646-647,共2页China Journal of Orthopaedics and Traumatology

摘　　要：目的:观察双头加压螺纹钉治疗股骨颈骨折的临床疗效.方法:股骨颈骨折202例,男97例,女105例;年龄15～83岁,平均63.8岁.在闭合复位后,行2枚双头中空加压螺纹钉内固定手术,观察其疗效并对结果进行分析.结果:术后192例获得随访,平均38.2个月.按照梁雨田等制定的疗效标准:优76例,良99例,可9例,差8例,优良率为91.1%.股骨头坏死9例,占4.68%;骨折不愈合10例,占5.2%.骨折平均愈合时间为(6.8±0.5)个月.结论:使用2枚双头加压螺纹钉固定牢固,能明显促进股骨颈骨折的愈合,降低股骨头坏死及骨折不愈合等并发症.Objective： To observe the clinical outcomes of hollow-double-head compression screw on the treatment of femoral neck fracture. Methods：Two hundreds and two patients（97 male, 105 female; the average age of 63.8 years ranging in age from 15 to 83 years）with femoral neck fracture were treated with two hollow-double-head compression screw after closed reduction. The clinical outcomes were observed and analyzed. Results：One hundred and ninety-two patients were followed up for an average time of 38.2 months. According to the Liang＇s standard of the clinical outcomes,the result were excellent in 76 cases,gcod in 99 cases,fair in 9 cases and poor in 8 cases. The excellent and good rate was 91.1%. Femoral head necrosis occurred in 9 cases （4.68 % ） ; Nonunion was in 10 cases（5.2 % ）. The average time of fracture healing was （ 6.8 ± 0.5 ） months. Conclusion： It is proved that the treatment of two hollow-double-head compression screw can obviously promote the healing of femoral neck fracture and reduce complications such as femoral head necrosis.

关 键 词：骨螺丝 股骨颈骨折 骨折固定术 内 

分 类 号：R683.420.5[医药卫生—骨科学] R683.42[医药卫生—外科学]