西南国防医药2013，Vol.23Issue(5)：469-471,3.DOI:10.3969/j.issn.1004-0188.2013.05.002
空心加压螺钉结合股方肌骨瓣移植术治疗股骨颈囊内骨折
Treatment of intracapsular fracture of femoral neck by hollow compression screw combined with quadratus femoris bone flap graft
摘要
Abstract
Objective To analyze the metaphase curative effects of hollow compression screw combined with quadratus femoris bone flap transplantation on intracapsular fracture of the femoral neck. Methods A retrospective analysis was made in the clinical data of 48 patients with intracapsular fracture of the femoral neck treated by hollow compression screw combined with quadratus femoris bone flap transplantation from January 2007 to January 2011. The follow-up was made in 21 cases. Results The operative time of the 48 cases ranged from 106 to 123 min with the average of( 113 ± 10 )min. The bleeding volume ranged from 250 to 400 ml with the average of( 300 ± 15 )ml. The days of hospitalization ranged from 7 to 13 d with the average of( 10 ±2 )d. The 21 cases were followed up for 1 to 5 years with the average time of 3. 1 years. The necrosis of femoral head occurred in one case,and the incidence was 4. 8% . Among the other 20 ones,the bucking of hip joint occurred in 3 ones with the mild limitation of abduction,and other joint functions were normal. All femoral neck fractures got bone union. The curative results were excellent in 19 cases, good in one, and poor in one, and the excellence and good rate was 95. 2% . Conclusion The operation is simple with small damage to the patients. The fixation is reliable. The rates of disunion and osteonecrosis is low,and there is a good recovery of hip joint function. It is a good treatment method for the intracapsular fracture of the femoral neck in young adults.关键词
股骨颈/囊内骨折/股方肌骨瓣/疗效Key words
femoral neck/intracapsular fractures/quadratus femoris bone flap/curative effect分类
医药卫生引用本文复制引用
简洪,黄金风,黄金亮,徐永清,李福兵,郭远发,范新宇..空心加压螺钉结合股方肌骨瓣移植术治疗股骨颈囊内骨折[J].西南国防医药,2013,23(5):469-471,3.基金项目
国家自然科学基金(81171734/H0607) （81171734/H0607）
全军医学科学技术研究"十一五"科技攻关项目(08G035) （08G035）
