应用Judet法治疗股骨颈骨折临床体会(附51例报告)

Clinical Experience of Femoral Neck Fracture Treated by judet Method (Report of 51 Cases)

股骨头缺血性坏死是股骨颈骨折晚期较为多见的并发症，故对股骨颈骨折病人重建股骨头血供是防止股骨头坏死的有效措施．作者自1987年10月至1994年10月，采用股方肌肌骨瓣移植术治疗中，青年股骨颈囊内骨折51例；包括陈旧性骨折1例，均获得良好效果．本组对51例，男性30名，女性21名；最小年龄为28岁，最大年龄为59岁，平均年龄43岁；左侧36例，右侧15例；头下型39例，经颈型12例；内收型36例，外展型15例；其中30例呈粉碎性骨折．本组病例均获随访，术后除2例因内固定不当出现股骨颈塌陷．行走略呈跛行外，其余恢复至正常状态，无1例出现股骨头坏死征象．

Ischemic necrosis of femoral head was an important complication of femoral neckfractures in late. Reconstruction of blood supply was effective method to prevent femoral head necroses.From October 1978 to October 1994, 51 cases of femoral neck fractures including 1 case of old fracturewere treated by Judet method, which was transplantation of bone graft with quadratus femoris muscle inadult. The result was good. They classified 39 cases of subhead type, 12 of middle neck type, 36 ofadduction type, 15 of abduction type. The average time of follow up was 2 years 11 month. The collapseof femoral head were caused by unsuitable intemal fixation in 2 cases, who had a little claudication andother function was normal. No any case presented femoral head necrosis.