钉道植骨对预防股骨颈骨折愈合后股骨头坏死作用的评价  

Evaluation of Implanting Bone in Screw Trajectory of Femoral Neck Fracture to Prevent Later Necrosis

作　　者：唐洪涛[1] 仝允辉[1] 海洋[1] 李红军[1] 陈洪干[1] 瞿少东[1] 

机构地区：[1]河南省洛阳正骨医院,河南洛阳471002

出　　处：《中国中医骨伤科杂志》2015年第6期26-28,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:探讨经皮空心加压螺钉治疗股骨颈骨折临床愈合后,取出空心加压螺钉以后钉道内不进行任何处理与钉道内植骨之间的临床效果对比。方法:我院自2007年4月-2010年4月收治股骨颈骨折60例,按照单盲法随机化原则,分为植骨组30例,未植骨组30例。比较两组之间在术前、术后3个月、6个月、9个月、12个月、18个月、24个月、30个月、36个月不同时期髋关节功能(采用Harris评分标准)和X线分期的差别和意义,并进行统计学分析。结果:术后两组髋关节功能比较,3个月至12个月,总体髋关节功能无明显差异(P>0.05),第12个月到第36个月植骨组总体髋关节功能明显优于未植骨组总体髋关节功能(P<0.05)。结论:经皮空心加压螺钉治疗股骨颈骨折临床愈合后,钉道内植入自体髂骨,能有效降低股骨头坏死的发生率,对髋关节起到保护作用。Objective：To detect the curative effect between implanting bone in screw trajectory and do not implant when the bone fracture were healing and then taking out the compression screw through skin.Methods：All 60 cases with the femoral neck fractures were treated in our hospital from Apr 2007 to Apr 2010.They were randomly divided into two groups：implanting bone group and without implanting bone group（30cases in each）.The hip joint function（Harris score）and X-ray were compared between the two groups before surgery and at 3th,6th,9th,12 th,18th,24 th,30th,36 th months after surgery.Results：The hip joint function of implanting bone group was more excellent than without implanting bone group during the period of 3months to12 months and the period of 12 months to 36 months after operation.Conclusion：Implanting autogenous bone in screw trajectory is effective on reducing incidence rate of the femur head necrosis,as well as protecting the hip joint after clinical healing of femoral neck fractures by cannulated compression screw through skin treatment.

关 键 词：股骨颈骨折 钉道植骨 股骨头坏死 髋关节功能 

分 类 号：R683.42[医药卫生—骨科学]