股骨干骨折合并同侧股骨颈骨折的手术治疗

Merger Ipsilateral Femoral Fractures of Femoral Neck Fracture Surgery

目的分析股骨干骨折合并同侧股骨颈骨折手术治疗特点。方法回顾性分析12例患者临床资料,对比单一术式与联合术式手术情况。结果联合术式股骨干骨折部位下段2例、中段6例,粉碎性骨折7例、横行及短斜行骨折1例,股骨颈骨折Ⅱ型1例、Ⅲ型7例,单一术式治疗股骨干骨折中段4例,粉碎性骨折1例、横行及短斜行骨折3例,股骨颈骨折Ⅱ型2例、Ⅲ型2例;联合治疗、单一术式治疗受伤至手术时间、患者手术时间、术中出血量、股骨干骨折愈合时间差异具有统计学意义(P<0.05)。结论应在控制危重合并创伤基础上择期手术或急诊手术,据股骨干骨折伤情制定手术风险,选择针对性的内固定术。

Objective To analyze femoral fracture merger ipsilateral femoral neck fracture surgery.Methods To retrospectively analyze 12 patients data and compare 2 surgical operation situations.Results Combination therapy and single patients with surgical treatment of injury to the operation time, operation time, intraoperative blood loss, femoral fracture healing time differences statistically signiifcant （P〈0.05）. Conclusion It should be united in control severe trauma or elective surgical procedures based on emergency surgery, according femoral fractures risk, corresponding fixation will be selected.