空心钉内固定加旋股内侧动脉深支大转子骨瓣治疗青壮年股骨颈骨析

Treatment of Femoral Neck Fracture in Young Adults by Cannulated Screw Fixation and Greater Trochanter Pedicle-bone Graft of Profundus Medial Femoral Circumflex Artery

【目的】探讨空心钉内固定加旋股内侧动脉深支大转子骨瓣对青壮年头下型、经颈型股骨颈骨折的治疗效果。【方法】采用Moore切口,股骨颈骨折行切开复位,空心加压螺纹钉内固定,旋股内侧动脉深支大转子骨瓣移植于股骨颈骨折处30例。【结果】随诊30例,时间3-5年,髋关节功能优良率96.6%,股骨颈骨折愈合率96.6%,股骨头缺血坏死率6.7%。【结论】空心钉内固定加旋股内侧动脉深支大转子骨瓣移植是治疗青壮年股骨颈骨折的有效方法,其骨折愈合率高,坏死率低。

[Objective] To explore the therapeutic effect of cannulated screw fixation and greater trochanter pedicle- bone graft of profundus medial femoral circumflex artery for femoral neck fracture in young adults. [Methods] Thirty-seven cases were treated by cannulated screw fixation and greater trochanter pedicle- bone graft of profundus medial femoral circumflex artery in the femoral neck fracture with Moore＇s incision, and open reduction in the fracture of femoral neck. [Results] Thirty cases were followed up for 3- 5 years, and the rate of excellent and good was 96.6 %, and the rate of fracture union was 96.6 %, and the rate of vascular necrosis of femoral head was 6. 7%. [Conclusion] Cannulated screw fixation and greater trochanter pediclebone graft of profundus medial femoral circumflex artery is a good method to treat formal neck fracture in young adults. It can improve the rate of fracture union and reduce the rate of vascular necrosis of femoral head.