带旋髂深血管蒂髂骨瓣植骨治疗青壮年人股骨颈骨折

Iliac Lamella with Circumflex Ilium Profunda Artery Transplantation in the Treatment of Young and Middle Aged adults Femoral Ossis Collum Fracture

目的 :探讨青壮年股骨颈骨折的手术治疗方法。方法 :自 2 0 0 0年以来对 11例青壮年股骨颈骨折采用改良Smith -petersen切口切开复位、带旋髂深血管蒂髂骨瓣植骨治疗。结果 :11例平均随访 1年 8个月 ,所有病例术后 4～ 6个月骨折愈合 ,无股骨头坏死 ,髋关节活动功能恢复良好。结论 :采用带旋髂深血管蒂髂骨瓣治疗股骨颈骨折 ,同时给以良好的固定 ,可促进骨折愈合 。

Objective:To study the operative therapy of femoral neck fracture on young and middle aged adults.Methods:11 cases with femoral neck fracture were treated with internal fixation and circumflex iliac vascular pedicle bone fraft of ilicum with improved smith-petersen incision.Results:During the follow-up period of one year and eight months in 11 cases,all the fractures healed up in 4～6 months after operation,no femoral head nercosis case occurred and all the cases obtained satisfactory joint function recovery.Conclusion:The advantages of this treatment are that the circumflex ilial venle has a secure position,the operation is easy to perform and it doesn’t need vascular connection.Besides the graft bone is easier to transfer as well so the operation will meet with a wonderful success.