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
三枚空心拉力螺钉经皮治疗股骨颈骨折
Hits: 1810   Download times: 1179   Received:June 08, 2000  Revised:August 17, 2000  
作者Author单位UnitE-Mail
李中伟 LI Zhong wei 上海第二医科大学附属瑞金医院,上海200025 Ruijin Hospital affiliated to Shanghai 2nd Medical University Shanghai,200025  
刘涛 LIU Tao 上海第二医科大学附属瑞金医院,上海200025 Ruijin Hospital affiliated to Shanghai 2nd Medical University Shanghai,200025  
胡大佑 HU Da you 上海第二医科大学附属瑞金医院,上海200025 Ruijin Hospital affiliated to Shanghai 2nd Medical University Shanghai,200025  
杜宁 上海第二医科大学附属瑞金医院,上海200025 Ruijin Hospital affiliated to Shanghai 2nd Medical University Shanghai,200025  
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


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    股骨颈骨折  并发症
 
Treatment of femoral neck fracture with percutaneous three cannulated screws fixation
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
 
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
View Full Text  View/Add Comment  Download reader
Close




版权所有:Editorial Office of China Journal of Orthopaedics and Traumatology京ICP备12048066号  版权声明
地址:No.16A, Nanxiaojie, Dongzhimennei, Beijing 100700, China
电话:0086-10-84036581 传真:0086-10-84036581 Email:zggszz@sina.com