摘要
目的探讨应用显微外科技术治疗青壮年股骨颈骨折,预防股骨头坏死的可行性。方法自1995年1月至2004年12月,临床应用74例,年龄23～50岁,其中新鲜骨折61例,陈旧性骨折13例,均采用切开复位内固定加带血管蒂骨瓣移植的治疗方法,平均随访3．2年,观察股骨头缺血性坏死的发生情况。结果依据主要临床症状和X线片诊断发生股骨头缺血性坏死共19例,占病例总数的25．68%,其中男性13例,女性6例,年龄37～49岁,平均42．35岁,发现时间为伤后10～78个月,平均28．5个月。髋关节Harris评分优良率为74．32%。结论采用显微外科技术治疗青壮年股骨颈骨折,能降低股骨头缺血性坏死的发生率。
Objective To explore the clinical application of microsurgical techniques to therapy the femoral neck fracture in younger patients and prevent the necrosis of femoral head. Methods Seventy-four younger adults, age from 23 to 50, with femoral neck fractures were treated by open veducition, internal fixa- tion and pedicled bone transplantation from Jan. 1995 to Dec. 2004. All of the 74 patients were reviewed clinically and radiologically after an average of 3. 2 years. Results In this group, 19/74 cases （25.68%） had avascular necrosis of the femoral head, which were diagnosised after an average of 28.5 months following injury. Despite these results, these patients assessment with Harris system had been very good or good in 55/74 patients （74.32%）. Condusion It＇ s an effective method to decrease the incidence of necrosis of femoral head after management the femoral neck fracture in younger patients by mierosurgieal techniques.
出处
《中华显微外科杂志》
CSCD
北大核心
2006年第3期170-173,i0001,共5页
Chinese Journal of Microsurgery
关键词
股骨颈骨折
股骨头坏死
青壮年
显微外科手术
Femoral neck
Fractures
Necrosis of femoral head
Young
Microsurgerical operation
