闭合植骨螺纹钉内固定治疗股骨颈骨折不连接

GLOSED OSTEOSYNTHESIS WITH GRAFT AND METALLIG LNTERNAL FIXATION DEVICE FOR NON-UNION OF FEMORAL NECK FRACTURES

作者应用改良的 Hendersen 闭合植骨螺纹钉内固定治疗32例股骨颈骨折不连接,取得良好效果。该手术要求术前牵引,术中骨折解剖复位,贯入螺纹钉一枚及三刃钉,并立即拔出三刃钉,跟踪隧道植骨,术后石膏固定3个月。定期复查,直至愈合。功能恢复约为1年,优良率达93.7%。该方法优点是手术创伤少,操作简便,疗效好.

Thirty-two cases of non-union of femoral fracture were treated with modified Hender-sen graft and metallic internal fixation device from Jan 1979 to Dec 1989.The patientshad skeletal traction before operation.During operation,a threaded compressive screw anda Smith-Petersen nail were driven in,then removed the nail and placed an auto-bone graftin the tunnel.After operation,a double spica plaster cast was applied and worn for atleast 3 months.Follow-up roentgenograms should be taken within at least one year.93.7%of the patients obtained union.