Sponsor

·
Chinese Association of
Integrative Medicine;
China Academy of Chinese
Medicine Sciences

Editing

·
Editorial Board of
China Journal of
Orthopaedics and Traumatology

Publishing

·
Publishing House,
China Journal of
Orthopaedics and Traumatology

Overseas Distributor

·
China International Book
Trading Corporation
P.O.Box 399,Beijing,China
Code No.M587

Mail-order

·
Publishing House,
China Journal of
Orthopaedics and Traumatology
No.16A, Nanxiaojie, Dongzhimennei,
Beijing 100700,China
Tel:0086-10-84020925
Fax:0086-10-84036581
Http://www.zggszz.com
E-mail:zggszz@sina.com

高龄股骨颈骨折的治疗

Hits: 2190 Download times: 1492 Received:March 16, 1998

作者	Author	单位	Unit	E-Mail
陈如见	CHEN Ru jian	国家体育总局成都运动创伤研究所,四川成都610041	Chengdu Research Institute of Sports Injury Shichuan Chengedu 610041
王小兵	WANG Xiao bing	国家体育总局成都运动创伤研究所,四川成都610041	Chengdu Research Institute of Sports Injury Shichuan Chengedu 610041

期刊信息：《中国骨伤》2000年13卷，第1期，第23-25页

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

目的:探讨高龄股骨颈骨折的治疗方法。

方法:采用手术并配合应用中医中药治疗移位性股骨颈骨折。手术方式为闭合复位X线电视监视下经皮或小切口多根螺纹针固定36例,三角针固定6例,加压螺丝钉与螺纹针协同固定(子母钉)25例,人工股骨头置换10例。

结果:经三年以上随访,内固定愈合56例,占84%;股骨头坏死20例,占29%;髋关节功能良好55例(包括股骨头置换病例)占71%.

结论:闭合复位内固定适用于大多数移位性股骨颈骨折或全身情况不能耐受人工股骨头置换术,或者不愿意作人工股骨头置换者,但对头下型严重移位者仍应首选人工股骨头置换。辨证施治应用中药,早期作除伤肢以外的其他肢体活动有利于减少和防治并发症的发生。

[关键词]:股骨颈骨折骨折固定术,内闭合复位

Treatment of Senlie Femoral Neck Fracture

Abstract:

Objective:To explore the treatment methods of senile femoral neck fractrue.

Methods:77 cases were treated with operation and Traditional Chinese Medicine.Operation methods include percutanecous multiple screw pins(36 cases),percutanecous mult iple triang ular pins(6 cases),the co mbinat ion of compression screw with screw pins(25 cases)and the hemiarthroplasty(10 cases).

Results:During 3 to 7 years follow up,54 cases got complete union of bone(84%);Femoral head necrosis occurred in 20 cases(29%);55 cases gained favorabel hip function(71%,include the patients whose femoral head were replace mented).

Conclusion:The method of closed reduction and internal fixation is suitable for most displaced femoral neck fr acture and the patients whose health condition can't tolerate the replacement operation.But to subcapital type fracture combined with serious displacement,the hemiarthroplasty should be done.Also,Traditional Chinese Medicine can be used to reduce complication.

KEYWORDS:Femoral neck fracture Fracture fixation,internal Closed reduction

引用本文，请按以下格式著录参考文献：

中文格式:	陈如见,王小兵.高龄股骨颈骨折的治疗[J].中国骨伤,2000,13(1):23~25
英文格式:	CHEN Ru jian,WANG Xiao bing.Treatment of Senlie Femoral Neck Fracture[J].zhongguo gu shang / China J Orthop Trauma ,2000,13(1):23~25

View Full Text View/Add Comment Download reader