中空加压螺丝钉在老年股骨颈骨折中的治疗应用  

The application of compress hollow screws in the treatment of the elderly femoral neck fracture

作　　者：刘军[1] 吴敏飞[1] 邢宏健[1] 

机构地区：[1]吉林大学中日联谊医院骨科,130033

出　　处：《中国实用医药》2008年第33期52-53,共2页China Practical Medicine

摘　　要：目的探讨中空加压螺丝钉治疗老年股骨颈骨折的可行性、优越性及相关注意事项。方法回顾分析应用中空加压螺丝钉治疗老年股骨颈骨折54例的临床资料。其中GardenⅠ型12例、Ⅱ型18例、Ⅲ型15例、Ⅳ型9例,用中空加压螺丝钉固定。术后均进行追踪随访。结果54例患者无术中和住院期间死亡。经平均4.2年的随访,近期并发症6例,发生率为11.1%;远期并发症6例,发生率为11.1%。除3例发生骨折不愈合及3例股骨头缺血性坏死外,余均为一期愈合。骨折愈合率为88.9%。按Harris评分标准:优良率为83.3%,恢复伤前生活行走功能。结论中空加压螺丝钉操作简单,符合生物力学特点,固定可靠,骨折愈合率高,是治疗老年股骨颈骨折的理想方法之一。Objective To discuss the importance of the perioperative management, the feasibility and advantages of application compress hollow screws in the treatment of the femoral neck fracture in the elderly patients. Methods From November 2001 to October 2007, 54 elderly cases of femoral neck fracture were treated with compress hollow screws in our hospital. Based on Garden classification, there were 12 cases with type I, 18 cases with type Ⅱ , 15 cases with type Ⅲ, 9 cases with type Ⅳ. All the cases treated with compress hollow screws were followed up after operation. Results No death occurred during operation or hospitalization. The follow-up period is 4.2 years. Short-term complications occurred in 6 cases, with the incidence of 11.1% and 11.1% respectively. All the fracture healed up well expect for one nonunion of the femoral neck fracture and one ischemic necrosis of femoral neck. The rate of fracture was 88.9%. According to the Harris criteria, the excellent rate was 83. 3%. Conclusion The compress hollow screws are easy to use because of their biomechanical feature can provide reliable fixation and high healing rate, so this is an ideal treatment method for the femoral neck fracture in aged patients.

关 键 词：股骨颈骨折 骨折固定术 中空加压螺丝钉 

分 类 号：R687.3[医药卫生—骨科学]