早期干预应用缝匠肌蒂髂骨瓣治疗青壮年股骨颈骨折初探  

Initial study on young adults with femoral neck fractures transplanted with iliac bone flap with sartorius muscle in early intervention

作　　者：陈启康[1] 李卫[1] 黄继辉[1] 林绍义[1] 蔡厚洪 吴举[1] 梁观钦 

机构地区：[1]广东省佛山市顺德区乐从医院,528315

出　　处：《实用医学杂志》2009年第18期3048-3050,共3页The Journal of Practical Medicine

摘　　要：目的:探讨早期干预应用缝匠肌蒂髂骨瓣对降低青壮年股骨颈骨折不愈合和股骨头坏死发生率的疗效。方法:把74例青壮年股骨颈骨折患者按不同手术时机及治疗方法分成3组,通过早期干预,保持血供等措施,统计3组患者的骨折不愈合率及股骨头坏死发生率。结果:第3组患者骨折不愈合率及股骨头坏死发生率均低于前两组,而疗效评价结果明显优于前两组。结论:早期干预,缝匠肌蒂髂骨瓣的植入,能明显提高股骨颈骨折的治愈率,减少股骨头缺血坏死的发生率。Objective To study the effects of transplanting with lilac bone flap with sartorius in early intervention on fracture nonunion and femur head necrosis incidence rate of young adults with femoral neck fractures. Methods Seventy-four young adults with femoral neck fractures were divided into three groups （group A,B,C） according to different operative times and treatments. We analyzed the incidence rates of fracture nonunion and femur head necrosis after therapeutic measures of early intervention and continuous blood supply to bone. Results The incidence rates of fracture nonunion and femur head necrosis in group C were lower than the other two groups, and the effect assessment of patients in group A were also better. Conclusion It could be an effective method to decrease the incidence rate of femur head necrosis by transplanting with itiac bone flap with sartorius in early intervention, and it could increase the cure rate of femoral neck fractures.

关 键 词：股骨颈骨折 股骨头坏死 缝匠肌蒂髂骨瓣 青壮年 

分 类 号：R687.3[医药卫生—骨科学]