股骨颈骨折不同术式的疗效比较  

Comparison of the Therapeutic Effects of Different Kinds of Operation for Femoral Neck Fracture

作　　者：党晓谦[1] 王坤正[1] 王春生[1] 杨哲[1] 

机构地区：[1]西安医科大学第二附属医院,710004

出　　处：《中国骨伤》1997年第4期3-4,共2页China Journal of Orthopaedics and Traumatology

摘　　要：本文报告了134例股骨颈骨折采取不同的手术方法治疗。这些手术方法有：经皮穿多根针固定、加压螺旋钉固定、经皮穿多根针加单臂外固定支架固定、麦氏截骨术、人工股骨头置技术。比较不同方法的并发症和疗效显示：利用多根针加单臂外固定支架固定可靠，可以早期活动、避免关节僵硬，缩短了治疗时间。这种方法可能是目前治疗股骨颈分析的最佳方法之一。134 cases of femoral neck fracture were treated with different kinds of operation, i. e. percutaneous fixation with multiple Knowles'pins, fixation with compression screw, percutaneous fixation with multiple knowles'pins combined with uni- lateral axial dynamic fixator, McMurray's osteotomy and artificial femoral neck replacement. The complications and therapeutic effects of different kinds of operation were compared.The results showed that the use of multiple Knowles'pins and unilateral axial dynamic fixator could make a good fixation, allow the early ambulation, accelerate the union, shorten the course of treatment, and also avoid the ankylosis. It might be one of the best methods for treating femoral neck fracture at present.

关 键 词：股骨颈骨折 外科手术 疗效比较 

分 类 号：R683.42[医药卫生—骨科学]