摘要
从1974年1月～1991年12月,共用股方肌骨瓣移植加内固定治疗股骨颈骨折97例.同时在尸体标本上对股方肌的形态和骨瓣的血液供应进行观察.发现股方肌骨瓣为一有肌蒂和血管蒂双重血供的骨瓣,血供丰富,肌蒂长度足够.临床随访55例,24例获3年至18年零7个月的长期随访.术后骨折愈合率98.2%,股骨头缺血坏死率14.55%.按董天华法髋功能评分标准:本组83.7±20.4分.认为该手术操作简单,容易掌握,术时短,创伤小,具有能显露股骨颈后上方骨质缺损并易植骨的独特优点;术后骨愈合率高,股骨头坏死率低,髋功能恢复好,是带蒂植骨治疗股骨颈骨折较好的手术方法.
From January 1974 to December 1991,97 patients with femoral neck fracture were treated by open reduction and internal fixation combined with the quadratus femoris muscle pedicled bone graft. In the same period, the quadratus femoris and the blood supply of the muscle pedicled bone graft were observed and measured in 106 samples cadaver of adults and 3 specimens of children. We found that the quadratus femoris muscle pedicled bone graft was supplied both by the muscle pedicle and arterial pedicle. Follow up study was carried out in 55 patients. The union rate of the fracture was 98. 2%,the rate of osteonecrosis was 14. 55%- The average result on Don Tian-hua's evaluation of the hip was 83. 7±20. 4. The surgical procedure of the quadratus femoris muscle pedicled bone grafting is simple and easy to performe and can easily find the comminuted fracture of the posterior cortex and fill it with the graft and cancellous bone,so the anatomical shape of the femoral neck is reconstructed and the stability of the internal fixation is enhanced. These may improve healing of the fracture.
出处
《骨与关节损伤杂志》
1995年第6期345-348,共4页
The Journal of Bone and Joint Injury
关键词
股方肌
肌骨瓣
股骨颈骨折
骨折
肌骨瓣移植
Quadratus femoris
Muscle pedicled bone graft
Femoral neck fracture
