[1]吴雪晖,谢肇,罗飞,等.经皮加压空心钉微创治疗老年新鲜股骨颈骨折[J].第三军医大学学报,2008,30(08):675-677.
 WU Xue-hui,XIE Zhao,LUO Fei,et al.Minimally invasive treatment with percutaneous compressing cannulated screw for fresh femoral neck fracture in aged patients[J].J Third Mil Med Univ,2008,30(08):675-677.
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
30卷
期数:
2008年第08期
页码:
675-677
栏目:
论著
出版日期:
2008-04-30

文章信息/Info

Title:
Minimally invasive treatment with percutaneous compressing cannulated screw for fresh femoral neck fracture in aged patients
作者:
吴雪晖谢肇罗飞代飞王序全马树枝张劲松
第三军医大学西南医院骨科,全军矫形外科中心
Author(s):
WU Xue-hui XIE Zhao LUO Fei DAI Fei WANG Xu-quan MA Shu-zhi ZHANG Jin-song
Department of Orthopedics, Orthopedic Center of PLA, Southwest Hospital, Third Military Medical University
关键词:
股骨颈骨折骨折内固定微创术股骨头缺血坏死
Keywords:
femoral neck fracture fracture fixation internal minimally invasive operation femoral head necrosis ischemic
分类号:
R616;R683.42;R687.32
文献标志码:
A
摘要:
目的 探讨应用闭合复位、经皮加压空心钉技术微创治疗老年新鲜股骨颈骨折的疗效。 方法 对我科1997年5月至2005年12月间行闭合复位、经皮加压空心钉治疗的145例老年新鲜股骨颈骨折患者进行回顾性分析,按Garden分型:Ⅰ型7例,Ⅱ型54例,Ⅲ型78例,Ⅳ型6例。 结果 随访12~104个月,平均46.2个月。139例骨折愈合,6例骨不连,骨折愈合率95.9%。17例股骨头缺血坏死,坏死率11.7%。其中Garden Ⅳ型骨折愈合率83.3%,股骨头缺血坏死率66.7%。髋关节功能评价,优58例,良73例,差14例,优良率90.3%。 结论 闭合复位、经皮加压空心钉技术微创治疗老年新鲜股骨颈骨折具有创伤小、固定牢靠、可早期功能锻炼、骨折愈合率高等优点,但对Garden Ⅳ型骨折宜采用关节置换术。
Abstract:
Objective To evaluate the therapeutic effect of minimally invasive treatment on fresh femoral neck fractures in aged patients using closed reduction and percutaneous compressing cannulated screws.  Methods Totally 145 aged patients with fresh femoral neck fractures treated during May 1997 to December 2005 were retrospectively analyzed. Seven cases were Garden type I, 54 Garden typeⅡ, 78 Garden type Ⅲ and 6 Garden type Ⅳ.  Results The follow-up period was 12-104 months and the average was 46.2 months. Fractures in 139 cases recovered and bone nonunion occurred in 6 cases, with the fracture healing rate of 95.9%. Femoral head ischemic necrosis occurred in 17 cases (17/145, the ischemic necrosis rate of 11.7%). Wherein the fracture healing rate of Garden type Ⅳ fracture was 83.3% and the femoral head ischemic necrosis rate was 66.7%. The function evaluation of hip joint showed that excellent outcome in 58 cases, good outcome in 73 and poor outcome in 14.  Conclusion Minimally invasive treatment with closed reduction and percutaneous compressing cannulated screws for fresh femoral neck fracture in aged patients has the advantages of minimal injury, stable fixation, early functional exercise and high fracture healing rate etc. However, hip joint replacement is suggested in managing fracture of Garden type Ⅳ.

相似文献/References:

[1]王序全,吴雪晖,罗飞,等.微创内固定系统在膝关节周围骨折治疗中的初步应用[J].第三军医大学学报,2008,30(08):671.
 WANG Xu-quan,WU Xue-hui,LUO Fei,et al.Less invasive stabilization system for fracture around knee joint[J].J Third Mil Med Univ,2008,30(08):671.
[2]王雨,王爱民,杜全印,等.肾性癫痫致双侧股骨颈骨折1例[J].第三军医大学学报,2006,28(24):2443.
[3]许建中.股骨干骨折漏诊同侧股骨颈骨折——附2例报告[J].第三军医大学学报,1992,14(04):0.[doi:10.16016/j.1000-5404.1992.04.034 ]
[4]张忠辉.肾小管酸中毒致自发性多发性骨折一例报告[J].第三军医大学学报,1984,06(04):0.[doi:10.16016/j.1000-5404.1984.04.027 ]

更新日期/Last Update: 2008-04-28