阔筋膜张肌缝匠肌骨瓣移植治疗股骨颈骨折  

Treatment of femoral neck fracture with muscle bone flap of both musculus tensor fasciae latae and musculus sartorius

作　　者：刘国平[1] 康斌[1] 曾辉[1] 

机构地区：[1]同济医科大学附属协和医院骨科

出　　处：《临床骨科杂志》2001年第2期95-97,共3页Journal of Clinical Orthopaedics

摘　　要：目的　观察阔筋膜张肌和缝匠肌联合双肌蒂骨瓣移植治疗新鲜股骨颈头下型和经颈型骨折的疗效。方法　缝匠肌蒂组 3 0例用可折螺钉固定加缝匠肌蒂骨瓣移植 ;双肌蒂组 2 3例采用可折螺钉或空心加压螺钉固定加阔筋膜张肌和缝匠肌双肌蒂骨瓣移植。结果　随访 5 2例 ,时间 3～ 5年 ,平均 4年 ,缝匠肌蒂组 8例疗效较差 ,双肌蒂组均愈合良好。结论　联合双肌蒂骨瓣治疗股骨颈头下型和经颈型骨折 。Objective To evaluate the effects of bone grafts with muscular pedicles of both musculus tensor fasciae latae and musculus sartorius in treating fresh transcervical or subcapital fractures of femoral neck (TSFFN). Methods 30 cases of TSFFN were treated by tail breakable screws and sartorius muscular pedicles bone grafts. The other 23 cases were treated by hollow pressure screws and bone grafts with muscular pedicles of both musculus tensor fasciae latae and musculus sartorius. Results 52 cases were followed up for 3 to 5 years, 4 years on average. In sartorius muscular pedicles, 8 cases showed the poor therapeutic results. The excellent therapeutic effects were achieved in all cases of musculus sartorius. Conclusion TSFFN can be treated by double muscular pedicles bone graft. The double muscular pedicles bone graft is more effective than single sartorius muscular pedicles in treating TSFFN of short mid term.

关 键 词：肌骨瓣移植 股骨颈骨折 治疗 

分 类 号：R683.420.5[医药卫生—骨科学]