股骨骨折遗漏股骨颈骨折的治疗  

Treatment of Femoral Neck Fracture Omitted in Femoral Fracture

作　　者：喻锋 喻爱喜[2] 

机构地区：[1]鄂钢医院骨科,鄂州436000 [2]武汉大学中南医院显微骨科

出　　处：《数理医药学杂志》2007年第5期636-638,共3页Journal of Mathematical Medicine

摘　　要：目的：探讨在青壮年股骨骨折中遗漏股骨颈骨折的治疗方法。方法：6例遗漏未愈的股骨颈骨折行切开复位带蒂骨瓣移植并2～3枚空芯钉内固定，术后卧床伤肢穿防旋鞋，根据复查X线片结果决定患肢负重行走的时间。结果：本组6例陈旧性股骨颈骨折于术后12-32周（平均22周）骨折愈合，患髋功能良好，随访期间未出现股骨头缺血性坏死。结论：青壮年股骨骨折遗漏未愈的股骨颈骨折经切开复位骨瓣转移坚强内固定后可获得愈合。Objective： To explore the treatment of femoral neck fracture omitted in femoral fracture in young adults. Methods： Six disunion cases of femoral neck fratures omitted have been reduced openly , implanted and internally fixated with 2-3 cannulated screw. After operation, the patients were bedridden and limb wear shoe avoiding rotation, according to review X-ray results of limb, load running time were determined. Result： These six disunion cases of femoral neck fractures attained union from 12-32weeks with average time of 22 weeks. Hip joint function was fine and there was non-necrosis of femoral head during the follow-up. Conclusion： Disunion femoral neck fractures omitted in femoral fractures can attain union by satisfactory reducation openly, implanting vascularized pedicle bone flap and strong internal fixation.

关 键 词：股骨 股骨颈 骨折 带血管骨瓣 内固定 

分 类 号：R683.42[医药卫生—骨科学]