青壮年移位型股骨颈骨折(GardenⅢ、Ⅳ)的手术治疗  

The surgical treatment of femoral neck fracture of shift type in young adults(Garden Ⅲ, Ⅳ)

作　　者：周俊[1] 周传友[1] 陈武[1] 

机构地区：[1]安徽省池州市人民医院骨科,安徽池州247100

出　　处：《中国医药科学》2014年第16期202-204,207,共4页China Medicine And Pharmacy

摘　　要：目的：评价空心加压螺钉联合臀中肌骨瓣移植治疗青壮年移位型股骨颈骨折的疗效。方法2008年6月～2012年6月我院对27例移位型青壮年股骨颈骨折（Garden Ⅲ、Ⅳ）患者采用改良Smith-Peterson入路（S-P）空心加压螺钉联合臀中肌骨瓣移植治疗。结果27例患者均获随访，随访时间18～60个月，平均36个月。骨性愈合时间4～8个月、平均6.5个月，骨折愈合25例，愈合率93.3％，股骨头坏死3例、其中2例骨折不愈合后期发展为股骨头缺血坏死、另1例为内固定取出术后出现股骨头坏死。股骨头坏死率为10.0％。结论采用改良S-P入路对股骨头周围血供破坏小，臀中肌骨瓣移植联合空心加压螺钉治疗青壮年移位型股骨颈骨折，对提高青壮年移位型股骨颈骨折愈合率和降低股骨头缺血坏死率疗效肯定，值得临床使用。ObjectiveTo evaluate the effects of the hollow compression screws joint hip musculoskeletal flap transplantation in treating femoral neck fracture of shift type in young adults.MethodsBetween June 2008 and June 2012, 27 young adults with femoral neck fracture（GardenⅢ,Ⅳ） were treated with hollow compression screws joint hip musculoskeletal flap transplantation in treating femoral neck fracture of shift type using modified Smith-Peterson（S-P）.Results27 patients were followed up 18 to 60 months, on average 36 months. The time of fracture healing was 4 to 8 months, on average 6.5 months. 35 cases of healing, healing rate was 93.3%. 3 cases of femoral head necrosis, necrosis rate was 10.0%.ConclusionHollow compression screws joint hip musculoskeletal flap transplantation is a reliable method for treating femoral neck fracture of shift type in young adults, with a high rate of fracture healing and a low rate of head necrosis, and is worthy of clinical promotion.

关 键 词：空心加压螺纹钉 臀中肌骨瓣 青壮年 股骨颈骨折 

分 类 号：R683.42[医药卫生—骨科学]