文档介绍：AO空心钉治疗中青年股骨颈骨折临床分析
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【摘要】目的探讨AO空心钉治疗中青年股骨颈骨折的疗效。方法对35例股骨颈骨折患者采用闭合整复、经皮穿导针空心螺钉内固定,闭合复位失败的改行切开复位,关节囊切开减压,置钉固定。结果采用Harris评分系统评估髋关节功能,优27例,良6例,差2例,%。结论 AO空心钉治疗中青年股骨颈骨折是一种良好方法。
【关键词】骨折固定术;股骨颈骨折;髋部;微创
【Abstract】 Objective To evaluate the results of cannulated screws in the treatment of femoral neck 35 patients who suffered femoral neck fractures were treated with closed reduction , fixed with three parallel cannulated screws. If the fractures can not be reduced by closed reduction ,open reduction was carried out ,the capsulas were left open ,and the fractures were fixed with cannulated All patients were evaluated with Harris standard , the excellent,good and poor was 27,6,2 respectively,and the excellent and good rate was %.Conclusion The cannulated screws fixation is a good method in the treatment of femoral neck fractures in the younger people.
【Key words】 fracture fixation;femoral neck fracture;hip;minimally invasive
股骨颈骨折是临床常见骨折,多发于老年人,发生于年轻人者往往需要较大暴力,年轻人股骨颈骨折后股骨头坏死几率较高。其临床治疗中存在着骨折不愈合和股骨头缺血坏死两大难题。近年来,AO空心加压螺钉治疗股骨颈骨折以其手术创伤小、股骨头血供破坏少、旋转稳定性好[1~5]等优点,被大多数医生及患者接受,在临床实践中显示出其优点。2000年1月-2009年10月, AO空心钉固定治疗股骨颈骨折35例,取得了较为满意的疗效,现报告如下。
1 资料与方法
一般资料 2000年1月-2009年10月,我院对35例股骨颈骨折患者采用闭合整复、经皮穿导针空心螺钉内固定术治疗。其中男22例,年龄31~55岁;女13例,年龄41~58岁。所有患者均采用骨折Carden分型, Carden Ⅰ型骨折13例,CardenⅡ型骨折1