摘要
目的:对带旋髂深血管蒂髂骨瓣复合BMP植治疗青壮年股颈骨折的临床疗效进行评估。方法:58例青壮年股骨颈骨折患者应用加压空心螺钉牢固固定后,采用带旋髂深血管蒂髂骨瓣并复合BMP移植治疗,对骨折愈合及髋关节功能进行了(1～4)年随访观察。结果:58例患者骨折愈合53例(91.4%),股骨头坏死5例(8.6%);髋关节功能优40例,良14例,可2例,差2例,优良率达93.1%。结论:骨折经空心螺钉固定后,带旋髂深血管蒂髂骨瓣复合BMP移植是治疗青壮年股臂颈骨折合理、有效的治疗手段,可提高骨折愈合率,降低股骨头缺血性坏死率。
Objective： To value the clinical results of femoral neck fracture treated with methods of implantation of iliac bone with pedicels of deep circumflex lilac vessels combined with BME Methods： 58 cases of femoral neck fracture were treated with method of implantation of iliac bone with pedicels of deep circumflex lilac vessels combined with BMP after internal fixation with cancellous screws ;fracture healing and function of affected hip had been observed after （l ~4） years follow-up. Results： healing： 53 cases（91.4 %）;avascular necrosis： 5 cases（8.6 %）.Hip function：Excellent：40 cases, Good： 14, Common：2, Bad：2,the percentage of Excellent and Good：93.1%. Conclusion： The method of implantation of iliac bone with pedicels of deep circumflex iliac vessels combined with BMP after internal fixation with cannulated screws was an effective treatment to femoral neck fracture in the young and adults, it could elevate the percentage of fracture-healing and reduce that of avascular necrosis of the femoral head obviously.
出处
《中国医药导刊》
2009年第8期1293-1294,共2页
Chinese Journal of Medicinal Guide
关键词
股骨颈骨折
旋髂深血管
骨形态发生蛋白
空心螺钉
缺血性坏死
Femoral neck fracture
Deep circumflex iliac vessels
bone morphogenetic protein
Cancellous screw
Avascular necrosis
