旋股外多条血管束移植治疗青壮年移位型股骨颈骨折  

Grafting Multiple Bundles of Lateral Femoral Circumflex Vessels for Treating Displaced Femoral Neck Fracture in Juvenile and Middle Aged

作　　者：王建伟[1] 马勇[1] 

机构地区：[1]南京中医药大学,210029

出　　处：《中国骨伤》1998年第1期9-11,共3页China Journal of Orthopaedics and Traumatology

摘　　要：青壮年移位型股骨颈骨折往往并发骨不连及股骨头坏死。采用旋股外多条血管束移植、加压螺钉内固定，配合中药活血化瘀，治疗 Ｇａｒｄｅｎ Ⅳ型股骨颈骨折，在与带肌蒂骨瓣、带血管蒂骨瓣移植加螺钉内固定及单纯加压螺钉内固定比较，疗效优越（ Ｐ＜０．０１）。多条血管束移植改善了骨折处及股骨头的血供，有利于骨折的愈合及股骨头坏死的预防。The displaced fracture of femoral neck in juvenile and middle aged is usually complicated with nonunion and necrosis of femoral neck. Garden type IV fracture of femoral neck in 11 patients was treated with grafting multiple bundles of lateral femoral circumflex vessels, internal fixation with compression screws, combined with Chinese drugs for promoting blood circulation and eliminating stasis. The results showed that the therapeutic effect of this method is better as compared with that of muscular pedicle bone flap graft, vascular pedicle bone flap graft combined with internal fixation with compression screws, and simple compression screws for internal fixation. The grafted multiple bundles of blood vessels may improve the blood supply in the head of femur and the region of fracture, and thus benefit healing of fracture and preventing femoral head from necrosis.

关 键 词：股骨颈骨折 股骨头坏死 骨不连 血管移植 治疗 

分 类 号：R683.420.5[医药卫生—骨科学]