闭合复位经皮加压空心钛螺钉内固定治疗新鲜股骨颈骨折

Closed reduction and percutaneous compressed hollow titanium screws fixation of fresh femoral neck fracture

目的:探讨在"C"臂引导下应用空心加压钛螺钉治疗股骨颈骨折的方法及疗效。方法:回顾性分析2009年1月～2011年1月,对41例新鲜股骨颈骨折患者在"C"型臂X线机透视下,应用空心加压钛螺钉治疗效果,并进行随访。结果:41例患者获得6.5～28个月的随访,平均19个月,优30例(73.2%),良8例(19.5%),差3例(7.3%),优良率92.7%。所有患者术后无感染、断钉现象。结论:闭合复位经皮空心螺钉内固定治疗新鲜股骨颈骨折创伤小、并发症少,是理想的治疗新鲜股骨颈骨折的方法。

Objective：To analyze the clinical method and results of fresh femoral neck fracture treated with compressed hollow titanium screws guided by C-ann. Methods：To retrospectively observe the results of 41 cases of femoral neck frac- ture during January 2009 to January 2011. They were all treated with compressed hollow screws. Results ：41 patients re- ceived 6.5 to 28 months of follow-up, an average of 19 months, excellent in 30 cases （ 73. 2% ） , good in 8 cases （19.5%） ,poor in 3 cases （7.3%） , fine rate of 92.7%. All the patients were without infection, screw breakage. Conclusion：With little trauma and fewer complication after operation, closed reduction and percutaneous compressed hollow titanium screws fixation of fresh iemoral neck fracture of young adults is an ideal method.