| 摘要: |
| ［摘要］ 目的 探讨治疗青壮年陈旧性股骨颈骨折的新技术。方法 对31例陈旧性股骨颈骨折切开复位、二枚空心加压螺钉内固定，用旋髂深血管蒂髂骨瓣加缝匠肌蒂髂骨瓣植骨、克氏针固定，适度制动及功能锻炼。结果 术后平均127 d骨折均愈合，随访平均36个月，按Harris评分优20例，良7例，可4例，关节功能满意，恢复日常工作，无股骨头缺血坏死。结论 采用切开复位内固定，用旋髂深血管蒂髂骨瓣加缝匠肌蒂髂骨瓣植骨治疗青壮年陈旧性股骨颈骨折效果好，能促进骨折愈合，对预防股骨头缺血坏死具有重要意义。 |
| 关键词: 股骨颈 陈旧骨折 带血管蒂髂骨瓣 肌蒂髂骨瓣 |
| DOI：10.3969/j.issn.1674-3806.2009.04.023 |
| 分类号:R 683.42 |
| 基金项目: |
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| Operative treatment of obsolete femoral neck fracture in young patients:Reports of 31 cases |
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TANG Jie-fu, LI Feng, MAN Yi-wang, et al.
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Department of Orthopaedics, the Second Hospital of Huaihua, Huaihua 418000,China
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| Abstract: |
| ［Abstract］ Objective To explore a new operative technique to treat obsolete femoral neck fracture in young patients.Methods Thirry-one patients with obsolete femoral neck fracture were treated by open reduction, internal fixation with 2 hollow compression screws, bone grafting of pedicled iliac bone flap with deep circumflex iliac vessels and sartorius muscle, internal fixation with kirschner pins, proper immobilization and functional rehabilitation.Results The follow-ups of an average of 36 months showed that all the fractures healed on average 127 days after operation with satisfactory functional recovery. According to Harris scoring system, there were 20 excellent cases, 7 good cases and 4 fair cases. The patients could do routine work again. No ischemic necrosis of femoral head occurred.Conclusion Application of open reduction, internal fixation,bone grafting of pedicled iliac bone flap with deep circumflex iliac and sartorius muscle plays an important role in promotion of fracture healing and prevention of ischemic necrosis of femoral head. |
| Key words: Femoral neck Obsolete fracture Vascularized pedicle iliac bone flap Muscle pedicle flap of iliac bone |
