中国组织工程研究2012，Vol.16Issue(13)：2374-2377,4.DOI:10.3969/j.issn.1673-8225.2012.13.022
新型内固定物经皮加压钢板微创植入修复股骨颈骨折
Effect of novel implant percutaneous compression plate implantation on the recovery of femoral neck fractures
王呈庆 1徐耀增 1耿德春 1陈一南 1李荣群1
作者信息
- 1. 苏州大学附属第一医院骨科,江苏省苏州市215006
- 折叠
摘要
Abstract
BACKGROUND: Meta-analysis shows the high rate of nonunion, femoral head necrosis and operative revision in femooal neck fractures after internal fixation.OBJECTIVE: To explore the security and short-term therapeutic effect of novel implant percutaneous compression plate (PCCP)on the recovery of femoral neck fractures.METHODS: Twenty-four patients suffering from fresh femoral neck fractures were treated with PCCP. The postoperative pain score at 3 days, a Harris score of the last follow-up, union of fracture and complications were recorded.RESULTS AND CONCLUSION: The mean duration of follow-up was 6.2 months (2.5-11 months). There were 14 cases followed-up for more than half a year and all of them were healed. No fixation failure, re-fracture, hip varus or other complications were found. There was no blood transfusion preformed in any patient during and after operation. The mean time of partial weight-bearing was 4.8 days (2-14 days). Postoperative pain rank at 3 days showed: grade one in 10 cases, grade two in 12cases and grade three in two cases. Cases in grade one and two accounted for 91%. According to Harris score, the postoperative excellent rate reached 87% after the final follow-up. It shows that the novel implant PCCP implantation is security to the recovery of femoral neck fractures. Stable fixation allows patients early weight-bearing rehabilitation which makes satisfactory short-term therapeutic outcomes.关键词
经皮加压钢板/股骨颈骨折/髋部骨折/内固定/人工假体分类
医药卫生引用本文复制引用
王呈庆,徐耀增,耿德春,陈一南,李荣群..新型内固定物经皮加压钢板微创植入修复股骨颈骨折[J].中国组织工程研究,2012,16(13):2374-2377,4.
