股骨头干三维互动闭合复位技术在股骨颈骨折治疗中的应用  

Minimally invasive reduction technique in treatment of femoral neck fracture

作　　者：孙彦豹[1] 王静[1] 金宝城[1] 王青松[1] 王友[1] 

机构地区：[1]河北省承德市中心医院(承德医学院第二附属医院)骨二科,067000

出　　处：《中国骨与关节损伤杂志》2013年第10期908-910,共3页Chinese Journal of Bone and Joint Injury

基　　金：承德市科学技术研究与发展计划(20123105)

摘　　要：目的比较分析股骨头干三维互动闭合复位技术与牵引闭合复位技术在股骨颈骨折治疗中的临床疗效。方法移位股骨颈骨折55例中36例行牵引闭合复位成功，牵引闭合复位失败的19例应用股骨头干三维互动闭合复位技术均复位成功。采用Garden对线指数对股骨颈骨折复位质量进行评价，通过髋关节功能Harris评分对比分析两种复位方法术后的临床疗效。结果55例均获平均18．5（13—25）个月随访。三维互动复位组手术时间、术中出血量、复位质量、术后Harris评分方面均优于牵引闭合复位组，差异均有统计学意义（P〈0．05）。两组骨折不愈合及股骨头坏死发生率比较差异均无统计学意义（P〉0．05）。结论股骨头干三维互动闭合复位技术比传统牵引闭合复位技术在股骨颈骨折内固定术中减少手术时间及出血量，提高复位质量，改善术后髋关节功能方面更有优势。Objective To evaluate the therapeutic efficacy of minimally invasive reduction technique and closed traction reduction on displaced femoral neck fractures of adult. Methods Fifty five patients suffering from displaced femoral neck fracture were admitted to our centre for treatment. The minimally invasive reduction group included 19 patients while the closed traction reduction group included 36 patients. Results The patients were followed up for 13 to 25 months, with an average of 18.5 months. There were significant differences in operation time, operation blood loss, Garden Index, Harris hip score（P 〈0.05）. There was no significant difference（P 〉0.05） in the rate of nonunion and avascular necrosis of the femoral head between the two groups. Conclusion The patients with displaced femoral neck fractures can achieve better anatomic reduction using the minimally invasive reduction technique than the closed traction reduction technique, which is an easy technique to perform with less injury and complication.

关 键 词：股骨颈骨折 闭合复位 内固定 三维互动闭合复位 牵引闭合复位 

分 类 号：R683.42[医药卫生—骨科学]