青少年创伤后股骨头坏死的临床特点及保髋手术治疗效果分析

Analysis of clinical features of femoral head necrosis and the treatment effect of hip preservation surgery in adolescents after trauma

目的:分析青少年创伤后股骨头坏死的临床特点及保髋手术治疗效果。方法:2016年3月-2017年3月收治因创伤导致股骨头不同程度坏死青少年患者18例,分析临床特点及保髋手术治疗效果。随访2年,观察患者髋关节功能、股骨头塌陷程度、股骨头坏死面积及髋关节骨关节炎情况。结果:18例患者末次随访时髋关节功能、股骨头塌陷程度、股骨头坏死面积及髋关节骨关节炎情况均明显优于治疗前,差异有统计学意义(P<0.05)。结论:在符合手术适应证情况下为青少年创伤后股骨头坏死患者制定相应手术方案,术后对患者进行有效功能锻炼,可取得较为良好的治疗效果。

Objective:To analyze the clinical features of femoral head necrosis and the treatment effect of hip preservation surgery in adolescents after trauma.Methods:From March 2016 to March 2017,18 adolescent patients with varying degrees of femoral head necrosis due to trauma were selected and the clinical characteristics and the effect of hip preservation surgery were analyzed.Patients were followed up for two years to observe hip joint function,femoral head collapse degree,femoral head necrosis area and hip joint osteoarthritis.Results:The hip joint function,the degree of femoral head collapse,the area of femoral head necrosis and the situation of hip osteoarthritis in 18 patients at the last follow-up were significantly better than before treatment,the differences were statistically significant(P<0.05).Conclusion:In accordance with the indications of surgery,it is possible to make the corresponding operation plan for the adolescent after trauma patients with femoral head necrosis and to carry out effective functional exercise for the patients postoperatively can have obtained the relatively good therapeutic effect.