AO空心针+带旋股内动脉深支大转子骨瓣治疗股骨颈骨折  

The Compressed Hollow Screws Uniting the Great Trochanter Bone Flap Pedicled With The Deep Branch of the Medial Circumflex Artery Treated for the Femoral Neck Fracture.

作　　者：巫洪波[1] 谢惠缄[1] 谢唏衷[1] 陆炳刚[1] 郭汉明[1] 张建民[1] 黄玉良[1] 赖志军[1] 蔡宏华[1] 孙春汉[1] 

机构地区：[1]惠州市中心医院骨I区,惠州516001

出　　处：《海南医学》2001年第10期9-10,共2页Hainan Medical Journal

摘　　要：目的 :探讨AO空心针加带旋股内动脉深支股骨大转子骨瓣治疗股骨颈骨折的方法。方法　本组 17例 ,均使用AO空心针固定加带旋股内动脉深支大转子骨瓣修复 ,术后制动 3周。结果　随访时间 2 2 -75个月 ,平均随访 38个月 ,股骨颈不愈合 1例 ,股骨头坏死 5例。结论　该方法具有 ( 1)良好的骨折复位 ;( 2 )稳定的固定 ;( 3)改善血流灌注 ;( 4 )促进成骨作用。Objective: To explore 17 cases of the femoral neck fracture treated with compressed hollow screws uniting the great trochanter bone flap pedicled with the deep branch of the medial circumflex artery.Methods: The 17 cases were treated with compressed hollow screws uniting the great trochanter bone flap pedicled with the deep branch of the medial circumflex artery,patients were immobilized for 3 weeks after operation.Results: The average duration of follow-up for 17 cases was 38 months (22-75months).16 cases were healed,5 cases developed necrosis of femoral head.Conclusions: Compressed hollow screws fixation uniting the great trochanter bone flap pedicled with the deep branch of the medial circumfiex artery is a reliable method for treatment of femoral neck fracture with a high healing.The method possesses applied anatomy reduction,excellent fixation,enhanced revascularization and healing for facture.

关 键 词：AO空心针 带旋股内动脉深支大转子骨瓣 手术治疗 股骨颈骨折 自体松质骨植骨术 功能锻炼 

分 类 号：R683.42[医药卫生—骨科学]