摘要
目的探讨股骨头骨折的治疗方法和临床效果。方法根据改良P ipk in氏分型方法,对20例股骨头骨折病人,采用手术治疗18例。其中股骨头骨折小骨块切除6例,骨折块复位内固定11例,髋关节置换1例。结果平均随访2.3年,按髋关节功能评定标准和X线结果,优7例,良7例,可3例,差1例,总优良率为78%。结论重视按股骨头骨折类型选择合适的治疗方式。Ⅰ型骨折小骨折块切除是较好选择,Ⅱ型和Ⅲ型需及时解剖复位内固定,Ⅳ型骨折是否行关节置换取决于年龄,年轻者尽可能保留原关节。
Objective To discuss the treatment and clinical effects of femoral head fractures in 20 cases. Methods According to themodified Pipkin＇s classification, 6 cases were type Ⅰ; 8 type Ⅱ; 4 type ; Ⅲ2 type Ⅳ. The patients were treated with different procedures according to the classfication and pathology. Results The average followed-up time was 2.3 years. Of the 18 operated cases, 7 cases were excellent; good in 7; fair in 3; poor in 1. The rate of excellent and good was 78%. Conclusion It is important to choice proper methods to treat femoral head fractures. The excision of the small fragment is a good choice to cases of type 1. Early accurate reduction with stable internal fixation is needed to cases of type Ⅱ or Ⅲ. Arthroplasty seems to he indicated in type Ⅳ cases of more than 50 years.
出处
《实用骨科杂志》
2006年第2期116-118,共3页
Journal of Practical Orthopaedics
关键词
股骨头骨折
分型
治疗方法
手术治疗
femoral head fractures
classification
treatment methods
