股方肌骨瓣转移联合多枚加压空心螺纹钉与AO多枚加压空心螺纹钉置入内固定修复中青年股骨颈骨折  

Quadratus femoris muscle pedicle bone flap transplantation combined with hollow compression screw fixation versus AO hollow compression screw fixation in the repair of femoral neck fracture in young and middle-aged patients

作　　者：查庆林 张鸿程 庐成云 朱玉科 

机构地区：[1]楚州中医院中医骨科,江苏省淮安市223200

出　　处：《中国组织工程研究》2014年第48期7792-7796,共5页Chinese Journal of Tissue Engineering Research

摘　　要：背景:股骨颈骨折临床上还没有统一的治疗标准,股方肌骨瓣转移移植联合多枚加压空心螺纹钉内固定法与AO多枚加压空心螺纹钉内固定均为股骨颈骨折常用治疗方法,但两者均有优缺点。目的:探讨股方肌骨瓣转移移植联合多枚加压空心螺纹钉内固定法与AO多枚加压空心螺纹钉内固定治疗中青年股骨颈骨折GardenⅢ,Ⅳ型效果及并发症发生率。方法:将60例中青年股骨颈骨折患者根据治疗方法的不同分为观察组和对照组,观察组应用开放复位股方肌骨瓣转移移植联合多枚加压空心螺纹钉内固定法,对照组应用闭合复位AO多枚加压空心螺纹钉内固定,比较两组患者骨折愈合时间、愈合率、功能优良率、股骨头坏死率及远期塌陷率。结果与结论:1观察组患者骨折愈合时间明显少于对照组,骨折愈合率及功能优良率明显高于对照组(P<0.05)。2观察组患者骨折愈合时间明显少于对照组,骨折愈合率及功能优良率明显高于对照组(P<0.05)。说明应用股方肌骨瓣转移移植联合多枚加压空心螺纹钉内固定法治疗中青年股骨颈骨折GardenⅢ,Ⅳ型效果良好。BACKGROUND： There is no unified treatment standard for femoral neck fracture in the clinic. Quadratus femoris muscle pedicle bone flap transplantation combined with hollow compression screw fixation and AO hollow compression screw fixation are common methods for treatment of femoral neck fracture, but both of them have their advantages and disadvantages. OBJECTIVE： To investigate the effects and complication rates of quadratus femoris muscle pedicle bone flap transplantation combined with hollow compression screw fixation and AO hollow compression screw fixation in young and middle-aged patients with Garden Ⅲ and Ⅳ types of femoral neck fracture. METHODS： A total of 60 young and middle-aged patients with femoral neck fracture were divided into observation group and control group according to the different treatment methods. The observation group was treated with quadratus femoris muscle pedicle bone flap transplantation combined with hollow compression screw fixation. The control group was treated with AO hollow compression screw fixation. Fracture healing time, healing rate, excellent and good rate, the rate of avascular necrosis and late collapse rate were compared between the two groups. RESULTS AND CONCLUSION： （1） The fracture healing time of the observation group was less than that of the control group. The healing rate and the excellent and good rate were significantly higher in the observation group than those in the control group （P 〈 0.05）. （2） Fracture healing time in patients of the observation group was less than that of the control group, but the healing rate and the excellent and good rate of fracture was significantly higher than those in the control group （P 〈 0.05）. These data suggested that the quadratus femoris muscle pedicle bone flap transplantation combined with hollow compression screw fixation have good effects in the treatment of Garden III and IV types of femoral neck fracture in the young and middle-aged patients.

关 键 词：植入物 骨植入物 空心钉内固定 股方肌骨瓣移植 股骨颈骨折 中青年 股骨 骨折 股骨头坏死 并发症 

分 类 号：R318[医药卫生—生物医学工程]