三种内固定器治疗股骨颈骨折的临床观察及生物力学分析  

CLINICAL OBSERVATION AND BIOMECHANICAL ANALYSIS OF THREE KINDS OF INTERNAL FIXATORS FOR FEMORAL NECK FRACTURE

作　　者：张波[1] 潘显明[1] 权毅[1] 胡修德[1] 陈乾一[1] 黄钢[1] 马泽辉[1] 

机构地区：[1]成都军区总医院骨科,成都610083

出　　处：《西南国防医药》2002年第3期210-212,共3页Medical Journal of National Defending Forces in Southwest China

摘　　要：目的 :对三种内固定器治疗股骨颈骨折的疗效进行临床观察及生物力学分析。方法 :1994- 0 7～ 2 0 0 1- 0 2 ,我院收治股骨颈骨折病人 72例 ,分别采用三刃钉、动力髋钢板 (DHS)、多根空心螺纹钉进行内固定治疗 ,观察其并发症发生率及髋关节功能状况 ,其中 6 7例获得随访 (随访时间 3～ 6 2个月 ,平均 2 8个月 )。结果 :多根空心螺纹钉组并发症最少 ,髋关节功能最佳。结论 :(1)早期良好的复位 ,使用合适的内固定器 ,大多数患者 (约 70 %～ 80 % )可获得满意的结果。 (2 )对股骨颈骨折 ,三根空心螺纹钉的固定较为确实 ,骨折不愈合率及股骨头无菌性坏死率均较低 ,髋关节功能较好。Objective: To evaluate the effects of three kinds of internal fixators on femoral neck fracture. Method: Three flanged nail, dynamic hip screw or multiple hollow screw were used, respectively, in 72 patients with femoral neck fracture. Their joint function of hip and the incidences of complications were compared one another. 67 ones of 72 patients had been followed-up for 3 to 62 months (average 28 months). Result: The patients fixed by multiple hollow screws were of the best joint function and the least complication among three groups. Conclusion: Most patients with femoral neck fracture will have a good result if they receive earlier anatomical diaplasis and adequate fixation. Multiple hollow screw is the most adequate fixator for femoral neck fracture.

关 键 词：股骨颈骨折 内固定器 生物力学 

分 类 号：R683.420.5[医药卫生—骨科学]