| 三枚空心拉力螺钉经皮治疗股骨颈骨折 |
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Received:June 08, 2000 Revised:August 17, 2000
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| 期刊信息：《中国骨伤》2001年14卷，第10期，第579-581页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：通过研究三枚空心拉力螺钉经皮治疗股骨颈骨折临床操作方法,手术前后注意事项,达到提高临床疗效,减少股骨颈骨折的并发症。
方法：本组41例均为新鲜股骨颈骨折,经术前牵引复位,在牵引状态及C型臂机透视下,从患肢大腿外侧穿刺,与股骨成20°～30°角的方向交叉钻入导引针,定位正确后,再分别拧入3枚空心拉力螺钉。
结果：随访2年2个月～13年2个月,采用北京积水潭医院疗效评定标准,41例中愈合39例,愈合率95.12%,发生股骨头缺血性坏死6例,占14.63%.
结论：术前良好的复位,术中选择合适的螺钉,正规的操作,是手术成功的关键,骨折愈合的基础。术后早期不负重,正确的康复锻炼是降低股骨头缺血性坏死发生率的必备条件。 |
| [关键词]:骨折固定术 内 股骨颈骨折 并发症 |
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| Treatment of femoral neck fracture with percutaneous three cannulated screws fixation |
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Abstract:
Objective:To improve the curative effect and reduce the complication of femoral neck fracture through studying the clinical performance of percutaneous three cannulated screws fixation
Methods: After reduction by preoperative traction,with the aid of C arm X ray device,41 cases of fresh femoral neck fracture were fixed with 3 cannulated lag screws which were inserted laterally along its guide pin at an angle of 20°～30° degrees with the shaft of the femur.
Results:After follow up of 2 years and 2 months to 13 years and 2 months,39 cases healed(the rate of healing were 95.12%) and necrosis of femoral head occurred in 6 cases according to the criteria of Beijing Jishuitan Hospital.
Conclusion:The excellent preoperative reduction,suitable screw fixation,and standard manipulation were the key points of success;of operation while the postoperative rehabilitation and rational medicine administration were the prerequisites of reducing the incidence of avascular necrosis of the femoral head. |
| KEYWORDS:Fracture fixation internal Femoral neck fractures Complications |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 李中伟,刘涛,胡大佑,杜宁.三枚空心拉力螺钉经皮治疗股骨颈骨折[J].中国骨伤,2001,14(10):579~581 |
| 英文格式: | LI Zhong wei,LIU Tao,HU Da you.Treatment of femoral neck fracture with percutaneous three cannulated screws fixation[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(10):579~581 |
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