改良s-p微创入路结合克氏针辅助复位技术治疗难复位性股骨颈骨折的临床研究

Clinical Study on Modified s-p Minimally Invasive Approach Combined with Kirschner Wire-assisted Reduction in Treatment of Refractory Femoral Neck Fracture

目的:探讨经改良s-p微创入路结合克氏针辅助复位技术治疗难复位性股骨颈骨折的效果。方法:对5例难复位性股骨颈骨折采用经改良s-p微创入路结合克氏针辅助复位技术固定骨折。观察术中复位情况、出血量、X线透视次数及术后髋关节Harris评分标准评估关节功能情况。术后随访6～18个月。结果:5例骨折复位良好,根据Garden对线指数评估,5例骨折复位质量为Ⅰ级。5例患者获得平均9个月的随访,骨折均愈合,无股骨头坏死。结论:改良s-p微创入路结合克氏针辅助复位技术在难复位性股骨颈骨折治疗中有更多优势。

Objective:To investigate the efficacy of modified s-p minimally invasive approach combined with Kirschner wire-assisted reduction in the treatment of refractory femoral neck fracture.Method:5 patients with refractory femoral neck fracture were fixed using modified s-p minimally invasive approach combined with Kirschner wire-assisted reduction.The intraoperative reduction,blood loss,frequency of X-ray fluoroscopy and postoperative Harris hip score for assessment of joint function were observed.Follow-up was performed for 6-18 months after surgery.Result:In the 5 patients,fractures were restored well.Based on assessment of Garden’s alignment index,the quality of fracture reduction in the 5 patients were gradeⅠ.The 5 patients all received followup with a mean duration of 9 months and fracture healing without femoral head necrosis.Conclusion:Modified s-p minimally invasive approach combined with Kirschner wire-assisted reduction in the treatment of refractory femoral neck fracture has more advantages.