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青壮年股骨颈头下型骨折治疗的临床分析

The treatment of the young patients’ femoral neck fractures below femoral heads

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【作者】 栾宏佳周洪明王洪林王吉生

【Author】 Luan Hongjia, Zhou Hongming, Wang Honglin, Wang Jisheng. Jiamusi Central Hospital, Heilongjiang 154002

【机构】 黑龙江省佳木斯市中心医院骨科绥滨县福兴乡医院 154002154002

【摘要】 目的 分析头下型股骨颈骨折治疗效果。方法 70例患者随机分为A、B两组。A组40例,采用透视下复位经皮三根针内固定治疗。B组30例采用切开复位带血管蒂髂骨移植三根针内固定治疗,随访1~7年。结果 A组治愈率65%。B组治愈率86.7%。结论 带血管蒂髂骨移植治疗头下型股骨颈骨折提高了愈合率,降低股骨头缺血性坏死率。

【Abstract】 Objective Analysis treatment of femoral neck fractures below femoral heads. Methods Young patients with femoral neck fractures below femoral heads were classified as group A and B randomly. Group A (40 cases) were treated with three stainmanns’ needles internal fixation after reduction in the condition of fluoroscopy. Group B (30 cases) with operative reduction and vessel pedicle iliac bone grafting and three needles internal fixation. The patients had been followed up postoperatively during 1-7 years. Results The rate of bone healing in Group A was 65%,group B 86.7% . Conclusion Vessel pedicle iliac bone grafting can accelerate bone healing obviously.

  • 【文献出处】 中国局解手术学杂志 ,Journal of Regional Anatomy and Operative Surgery , 编辑部邮箱 ,2000年02期
  • 【分类号】R683
  • 【被引频次】2
  • 【下载频次】34
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