| 青壮年新鲜股骨颈骨折的诊断和治疗 |
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Received:November 06, 2003
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| 期刊信息：《中国骨伤》2004年17卷，第6期，第337-339页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨新鲜青壮年股骨颈骨折的诊断和治疗方法。
方法:本组78例,平均34.4岁(20～48岁)。其中头下型24例,经颈型34例,基底型20例,均用3根折断加压螺纹钉固定。同时分别联合应用股方肌、缝匠肌肌骨瓣或带旋髂深血管的髂骨瓣。术后制动12周。平均随访3年4个月。
结果:6例复位不良,其中5例出现骨折不愈合,共14例发生股骨头坏死。
结论:新鲜股骨颈骨折的治疗原则应力求早期解剖复位,牢固固定。带肌蒂或血管蒂的髂骨瓣植入可以改善局部的血运,良好的骨折复位、早活动晚负重,有利于降低青壮年股骨颈骨折不愈合和股骨头缺血性坏死的发生率。 |
| [关键词]:股骨骨折 骨折固定术,内 股骨头坏死 |
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| Diagnosis and treatment of fresh femoral neck fracture in the youths and the middle-ageds |
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Abstract:
Objective:To observe the diagnosis and treatment of fresh femoral neck fracture in the youths and the middle ageds through the retrospective study of 78 cases with operation.
Methods:There were 78 cases with an average age of 34.4 years(20 to 48 years) in the group.24 cases were with fracture under the head,34 cases were at the neck and 20 cases at the bottom of head.All of the cases were treated with three compression broken screws and united muscular quadratus femoris or sartorius muscle bone flap or iliac lamella with circumflex ilium profunda artery.Patients were immobilized for 12 weeks after operation and were followed up for 3 years and 4 months in average.
Results:6 cases were poor reduction (5 cases were nonunion);14 cases had suffered from femoral head necrosis in all cases.
Conclusion:The principles for the treatment of fresh femoral neck fracture are early treated,with anatomical reduction and rigid fixation.Iliac lamella implantation with muscular or vascular pedicel can efficiently improve supplement.Better fracture reduction,earlier activities and later weight carrying will decrease the rate of the femoral head necrosis.Severity of the fracture directly influences the prognosis. |
| KEYWORDS:Femoral fractures Fracture fixation,internal Femur head necrosis |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王华民,王钢,陈滨,汪群立.青壮年新鲜股骨颈骨折的诊断和治疗[J].中国骨伤,2004,17(6):337~339 |
| 英文格式: | WANG Hua min,WANG Gang,CHEN Bin,WANG Qun Li.Diagnosis and treatment of fresh femoral neck fracture in the youths and the middle-ageds[J].zhongguo gu shang / China J Orthop Trauma ,2004,17(6):337~339 |
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