带缝匠肌蒂髂骨块移植与加压螺纹钉固定治疗中青年股骨颈骨折

Sartorius Pedicled Iliac Graft Combined with Compressive Screw for Femoral Neck Fracture in Youth or Middle Age

目的 总结带缝匠肌蒂髂骨块移植和加压螺纹钉固定治疗中青年股骨颈骨折的疗效。方法 对15例中青年股骨颈骨折采用上述手术方式治疗。结果 平均随访13（6-18）个月,所有骨折均完全愈合,无股骨头缺血坏死及感染等并发症发生。结论对于中青年股骨颈骨折,采用加压螺纹钉固定骨折后行缝匠肌蒂供血的自体髂骨块移植,能较好地促进骨折愈合,是一种有效的治疗方法。

Objective To summarize the curative effect of sartorius pedicled iliac graft combined with compressive screw in treatment of femoral neck fractures in youth or middle age. Method 15 patients with femoral neck fracture were treated by open reduction followed by compressed screw and sartorius pedicled iliac graft. Result All patients were followed up for 6 to 18 months, and all fractures healed without ischemic necrosis of femoral head, infection：or any other complications. Conclusion For youth or middle age pa- tients, compressive screw fixation and sartorius pedicled iliac autograft demonstrates effective for femoral neck fractures by promoting the union of fracture.