骨外固定治疗股骨颈骨折

Treatment of femoral neck fracture with external fixation

目的 回顾性分析骨外固定技术在治疗股骨颈骨折中的应用 ,探讨其适应症与疗效。方法 31 0例病人接受此手术 ,对其中 2 4 7例进行随访分析。年龄 1 2～ 86岁 ,平均 65岁。其中头下型骨折 93例 ,经颈型 1 2 8例 ,基底型 2 6例 ;按Garden氏分型 :Ⅱ型 31例 ,Ⅲ型 1 32例 ,Ⅳ型 84例。结果 骨不连 32例 ,占 1 3 % ;股骨头缺血性坏死 2 5例 ,占 1 0 % ;其余均在 4～ 1 0个月摄X线片示骨折愈合 ,取出外固定 ,骨折愈合率 87% ;功能恢复良好。结论 应用骨外固定技术治疗股骨颈骨折 ,手术创伤小 ,操作简单 ,固定效果可靠。穿针部位及方法选择合适可减少术后钢针松动和膝关节活动受限等并发症 ,是治疗股骨颈骨折可选用方法之一。

Objective To review retrospectively the application of external fixation for treatment of fracture of femoral neck Methods 310 patients accepted the operation,247 patients aged from 12 to 86 years(average 65 years) were followed up.Of all the cases,31 were Ⅱ,132 were Ⅲ,84 were Ⅳ,according to Garden's classification.Results 25 cases had avascular necrosis of femral heads (10%) and 32 cases of nonunion (13%).External fixation was removed in 4 to 10 months after operation when radiography indicated fracture healing.The bone healing rate was 87%.Conclusion External fixation technique is a simple and effective method to treat the fracture of the femoral neck.The complication could be minimized by a correct method and right position of needle.