股骨颈骨折102例分析

Anaysis on Femur and Neck Fracture 102 Cases

目的:为探讨股骨颈骨折的疗效.方法:分别采用保守疗法及几种不同的手术方法治疗,股骨颈骨折共102例.结果:优:40例(41.7%);良25例(25.5%);差31例(32.8%).结论:50岁以上的头下型骨折采用人工髋关节置换术,50岁以下者采用加压螺纹钉内固定加股方肌肌蒂骨瓣移植术为好;对经颈型骨折,60岁以上者多采用人工髋关节置换术,60岁以下者用加压螺纹钉内固定术,但对GardenIII～IV型以加压螺纹钉内固定加股方肌肌蒂骨瓣移植术为好;而基底型骨折采用保守疗法即可.

Purpose:To discuss the curative effect of femur and neck fracture.Method:To take the conservative curiative method and several operation method.Results:The best cases is 41.7%.The better cuses is 25.5%,the bad case is 32.8%.Conclusion:More than 50 years patients of headbelow fracture shuld take replace artifcied luip joint,less than 50 years patints should take pressure screwrivet in body and fixed musculus quadratus femoris tedice replace operation.To neck fracture pateints over 60 year.take artifical hipoint operation below 60 years take pressure screwrivet fixed in body.but Garden Ⅲ～Ⅳ should take fixed musculus quadratus femoris tedice replace operation.