青壮年股骨颈骨折手术治疗进展

Surgical Treatment Progress of the Femoral Neck Fracture in Young Adults

近年来,青壮年股骨颈骨折的发病率呈增高趋势。骨折术后骨不连和股骨头缺血坏死这两大并发症对患者的工作和生活构成严重威胁。手术复位内固定治疗为青壮年股骨颈骨折的最佳治疗方法,但是手术时机的选择、手术内固定方式的选择及术后是否需要持续的康复治疗仍存在争议。因青壮年对手术和疗效的要求更高,结合患者的具体情况,进行有针对性的手术及术后康复等综合治疗对患者术后功能恢复显得尤为重要。

The morbidity of femoral neck fracture in young adults is rising in recent years. The major postoperative complications threatening these patients＇ work and life include non-union and avascular necrosis of the femoral neck. Internal reduction and fixation is the best treatment, but there is still dispute about the time of operation, the selection of internal fixation method and the need of persistent rehabilitation. Because of higher function and rehabilitation requirements in young adults ,the comprehensive treatment including specific operation and post-operative rehabilitation acccording to the patients＇ specific condition is of great importance.