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旋股外多条血管束移植治疗青壮年移位型股骨颈骨折

Hits: 1667 Download times: 1173 Received:March 31, 1997

作者	Author	单位	Unit	E-Mail
王建伟	Wang Jianwei	南京中医药大学,210029	Nanjing University of Traditional Chinese Medicine (210029)
马勇	Ma Yong	南京中医药大学,210029	Nanjing University of Traditional Chinese Medicine (210029)

期刊信息：《中国骨伤》1998年11卷，第1期，第9-11页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

青壮年移位型股骨颈骨折往往并发骨不连及股骨头坏死。采用旋股外多条血管束移植、加压螺钉内固定,配合中药活血化瘀,治疗 Garden Ⅳ型股骨颈骨折,在与带肌蒂骨瓣、带血管蒂骨瓣移植加螺钉内固定及单纯加压螺钉内固定比较,疗效优越( P<0.01).多条血管束移植改善了骨折处及股骨头的血供,有利于骨折的愈合及股骨头坏死的预防。

[关键词]:股骨颈骨折股骨头坏死骨不连血管移植

Grafting Multiple Bundles of Lateral Femoral Circumflex Vessels for Treating Displaced Femoral Neck Fracture in Juvenile and Middle Aged

Abstract:The displaced fracture of femoral neck in juvenile and middle aged is usually complicated with nonunion and necrosis of femoral neck. Garden type IV fracture of femoral neck in 11 patients was treated with grafting multiple bundles of lateral femoral circumflex vessels, internal fixation with compression screws, combined with Chinese drugs for promoting blood circulation and eliminating stasis. The results showed that the therapeutic effect of this method is better as compared with that of muscular pedicle bone flap graft, vascular pedicle bone flap graft combined with internal fixation with compression screws, and simple compression screws for internal fixation. The grafted multiple bundles of blood vessels may improve the blood supply in the head of femur and the region of fracture, and thus benefit healing of fracture and preventing femoral head from necrosis.

KEYWORDS:Femoral neck fracture Prevention from necrosis Nonunion Vascular grafting

引用本文，请按以下格式著录参考文献：

中文格式:	王建伟,马勇.旋股外多条血管束移植治疗青壮年移位型股骨颈骨折[J].中国骨伤,1998,11(1):9~11
英文格式:	Wang Jianwei,Ma Yong.Grafting Multiple Bundles of Lateral Femoral Circumflex Vessels for Treating Displaced Femoral Neck Fracture in Juvenile and Middle Aged[J].zhongguo gu shang / China J Orthop Trauma ,1998,11(1):9~11

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