摘要
目的 总结多枚 7.0mm空心螺丝钉治疗股骨颈骨折的效果 ,并分析其特点。 方法 治疗 2 3例 ,其中男 16例 ,女 7例 ;平均年龄 43.6 (18～ 6 4)岁。闭合复位 2 0例 ,切开复位 3例 ,在“C”形臂X线机监视下 ,将 3枚空心螺丝钉呈等腰三角形平行打入。 结果 平均随访 2 3.1(5～ 5 6 )个月 ,2 3例全部愈合 ,平均愈合时间 3.8(2～ 6 )个月。 2例发生缺血坏死 ,无其他严重并发症 ,优良率为 87%。 结论 空心螺丝钉呈等腰三角形平行固定可获得良好的固定效果 ,有动力加压作用 ,创伤小 ,愈合率高 ,并发症少 ,是目前比较理想的股骨颈骨折治疗手段。
Objective To evaluate the characteristics and summarize the effect of treatment of femoral neck fracture with multiple 7.0 mm hollow screws. Methods Among 23 cases, there were 16 males and 7 females with an average age of 43.6 years (18-64 years). Close reduction was done in 20 cases and open reduction was in 3 cases. The fractures were fixated by 3 parallel hollow screws in the form of isosceles triangle under monitoring of type C arm X-ray machine. Results The average follow up was 23.2 months (5-56 months). All of 23 cases were healed. The average healing period was 3.8 months (2-6 months). Two cases developed necrosis of femoral head, no other severe complications were observed. The excellence rate was 87%. Conclusions The treatment of femoral neck fracture with 3 parallel hollow screws in the form of isosceles triangle is a current ideal method which possesses the characteristics of excellent fixation, dynamic compression, high healing rate, less trauma and complications.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2000年第3期148-150,共3页
Chinese Journal of Trauma
关键词
股骨颈骨折
骨折固定术
空心螺丝钉
Femoral neck fracture
Fracture fixation, internal
Hollow screws
