空心双头加压螺钉治疗Hoffa骨折的临床研究  

Surgical Experiences for Hoffa Fracture with Hollow Double Head Screw and Seed Nail

作　　者：王永贵[1] 刘江涛[1] 庄正陵[1] 黄彬[1] 段袆 段俊虎[1] 刘涛[1] 贾吉光[1] 邱晨[1] 

机构地区：[1]湖北医药学院附属襄阳医院骨科,湖北襄阳441000

出　　处：《医学临床研究》2015年第1期80-83,共4页Journal of Clinical Research

摘　　要：【目的】回顾性分析空心双头加压螺钉在Hoffa骨折中应用的临床效果。【方法】本院自2004至2013年间治疗的Hoffa骨折患者共21例，其中男13例，女8例；车祸伤15例，高处坠落伤4例，砸伤2例；按Letenneur分型I型11例，Ⅱ型6例，Ⅲ型4例；闭合性骨折15例，开放性骨折6例；全部患者均采用空心双头加压螺钉进行骨折固定，术后及时进行康复功能锻炼。【结论】术后随访时间6个月至3年，平均21．5个月；随访结果为所有骨折均达到骨性愈合，术中术后无血管及神经损伤、术后没有出现伤口及关节腔感染、术后无螺钉松动及断裂等并发症发生；根据Letenneur评估系统进行术后功能评估，本组患者优良18例，可2例，差1例，优良率85．7％。【结论】空心双头加压螺钉固定治疗Hoffa骨折具有手术创伤小、固定可靠、术后功能恢复好的优点，是一种疗效可靠的治疗方法。[Objective] Hollow double compression screw fixation were retrospectively analyzed the clinical effect of treatment of Hoffa fractures. [Methods] From 2004 to 2013, a total of 21 Hoffa fracture patients were recruited. There were 13 males and 8 females. And the causes were traffic accident （ n = 15）, high fall- ing （ n =4） and crush injury （ n =2）. According to the Letenneur scheme, the types were Ⅰ （ n =11）, Ⅱ （ n =6） and Ⅲ （ n =4）. And the fractures were closed （ n =15） and open （ n =6）. Double hollow compression screw was applied for fracture fixation. And pOstoperative rehabilitation exercise was implemented in a timely manner. [Results] The average follow-up period was 21.5 （6~36） months. During follow-ups, osseous heal- ing was achieved without perioperative vascular or nerve injury, wound infection, screw loosening or rupture. Postoperative function assessments were based on Letenneur system. And the outcomes were excellent （ n = 18）, fair （ n =2） and poor （ n = 1）. And the excellent rate was 85.7%. [Conclusion]Hollow double com- pression screw is efficacious for Hoffa fractures. And it offers the advantages of mini-invasiveness, reliable fix- ation and quick recovery of postoperative functions.

关 键 词：骨钉 骨折固定术 内 股骨骨折/外科学 回顾性研究 

分 类 号：R683.421[医药卫生—骨科学]