CAJ | 학술논문

目的探讨用不同手术方法治疗不同类型的股骨颈骨折.方法对基底型及经颈型股骨颈骨折采用手法复位2枚加压空心钉内固定(14例),对头下型及头颈型股骨颈骨折采用2枚加压空心钉内固定加殷方肌蒂骨瓣移植术(32例)治疗,并对疗效平均随访3年10个月.结果股骨颈骨折愈合率为97.5%,股骨头坏死率2.4%,优良率92.6%.结论闭合复位,加压空心钉内固定治疗经颈型及基底型股骨颈骨折;开放复位,2枚加压空心钉内固定加股方肌蒂骨瓣移植治疗股骨颈骨折头下型及头颈型,其操作简单,手术损伤小,出血少,骨折端愈合率高,股骨头坏死率低,是治疗不同类型股骨颈骨折的较为理想的方法.
목적 탐토용불동수술방법치료불동류형적고골경골절.방법 대기저형급경경형고골경골절채용수법복위2매가압공심정내고정(14례),대두하형급두경형고골경골절채용2매가압공심정내고정가은방기체골판이식술(32례)치료,병대료효평균수방3년10개월.결과 고골경골절유합솔위97.5%,고골두배사솔2.4%,우량솔92.6%.결론 폐합복위,가압공심정내고정치료경경형급기저형고골경골절;개방복위,2매가압공심정내고정가고방기체골판이식치료고골경골절두하형급두경형,기조작간단,수술손상소,출혈소,골절단유합솔고,고골두배사솔저,시치료불동류형고골경골절적교위이상적방법.
Objective To evaluate and compare the results of different operative methods for different types of femoral neck fracture. Methods To assess the treatment effect of two methods. Some eases of femoral neck fracture of basal-neck type and via-neck type were treated with closed reduction internal fixation with two compression spiral screws(14 eases). Other eases(32 eases) of femoral neck fracture of sub-head type and head-neck type were treated with closed reduction internal fixation with two cannulated compression screws and bone graft flaped with quadrate muscle of thigh. Results 41 cases were followed up. The average healing time was 3 years and 10 months.The bone healing rate was 97.5% ,femoral head necrosis occurred in 2.4% ,excellent and good rate was 92.6%.Conclusion Cases of femoral neck fracture of sub-head type and head-neck type were treated with closed reduction internal fixation with two cannulated compression screws and bone graft flaped with quadrate muscle of thigh. This method has the advantage of reliable fixation, simple operation, less injury and little hemorrhage. It can improve the rate of fracture union and reduce the rate of avascular necrosis of femoral head. It is the optimal method for the treatment of femoral neck fractures.