摘要
目的:对微创克氏针撬拨复位空心钉固定治疗难复位性股骨颈骨折临床效果进行分析。方法:选择2009年1月—2016年12月难复位性股骨颈骨折患者35例,所有患者均给予微创克氏针撬拨复位空心钉固定治疗,用Garden指数对克氏针复位质量进行评价,并分析髋关节功能恢复优良率,骨折愈合情况及术前术后髋关节功能评分。结果:35例患者中有34例复位成功,其中,有1例属于旋转成角移位型骨折,复位失败进行切开复位内固定,其余患者经微创克氏针撬拨复位空心钉固定治疗后骨折基本达到解剖复位,手术操作时间40~80 min,平均为55 min;术中出血量25~50 m L,平均为35 m L。所有患者术后均获得随访,骨折愈合时间3~10个月,平均6个月。无1例患者出现骨折再移位、伤口感染、内固定松动或脱出等并发症。治疗后髋关节功能评分显著高于治疗前,P<0.05。结论:微创克氏针撬拨复位空心钉固定治疗难复位性股骨颈骨折临床效果确切,可有效促进骨折复位,提高愈合质量,改善髋关节功能,且可减少创伤,值得推广。
Objective:To analyze the clinical effect of minimally invasive Kirschner wire pendulum reduction and hollow fixation in the treatment of refractory femoral neck fracture.Methods:Thirty-five patients with refractory femoral neck fractures from January2009to December2016were selected in this study.All patients were treated with minimally invasive Kirschner wire fixation and hollow fixation.The quality of Kirschner wire was evaluated by Garden index and hip function recovery rate,fracture healing and preoperative and postoperative hip function score were analyzed.Results:Of the35patients,34cases were successfully reset.Among them,1case was converted into angular displacement fracture,and the reduction was performed.The rest of the patients were treated with minimally invasive Kirschner wire fixation and hollow fixation and achieved basic anatomical reduction of posterior fracture,the operation time was of40-80minutes,with an average of55minutes;the intraoperative blood loss was of25～50mL,with an average of35mL.All patients were followed up after surgery,fracture healing time was of3～10months,with an average of6months.No case of patients was with fracture and then shift,wound infection,internal fixation or prolapse and other complications.After treatment,the hip function score was significantly higher than before treatment,P<0.05.Conclusion:The clinical effect of minimally invasive Kirschner wire fixation and hollow fixation was effective in the treatment of refractory femoral neck fracture,it could effectively promote the fracture reduction,improve healing quality,enhance the hip function and reduce trauma,therefore,it was worthy of promotion.
出处
《中医临床研究》
2017年第15期120-122,共3页
Clinical Journal Of Chinese Medicine
关键词
微创克氏针撬拨复位
空心钉固定
难复位性股骨颈骨折
临床效果
Minimally invasive Kirschner wire prying reduction
Hollow nail fixation
Refractory femoral neck fracture
Clinical effect
