CAJ | 학술논문

目的：评价空心加压螺钉联合臀中肌骨瓣移植治疗青壮年移位型股骨颈骨折的疗效。方法2008年6月～2012年6月我院对27例移位型青壮年股骨颈骨折（Garden Ⅲ、Ⅳ）患者采用改良Smith-Peterson入路（S-P）空心加压螺钉联合臀中肌骨瓣移植治疗。结果27例患者均获随访，随访时间18～60个月，平均36个月。骨性愈合时间4～8个月、平均6.5个月，骨折愈合25例，愈合率93.3％，股骨头坏死3例、其中2例骨折不愈合后期发展为股骨头缺血坏死、另1例为内固定取出术后出现股骨头坏死。股骨头坏死率为10.0％。结论采用改良S-P入路对股骨头周围血供破坏小，臀中肌骨瓣移植联合空心加压螺钉治疗青壮年移位型股骨颈骨折，对提高青壮年移位型股骨颈骨折愈合率和降低股骨头缺血坏死率疗效肯定，值得临床使用。
목적：평개공심가압라정연합둔중기골판이식치료청장년이위형고골경골절적료효。방법2008년6월～2012년6월아원대27례이위형청장년고골경골절（Garden Ⅲ、Ⅳ）환자채용개량Smith-Peterson입로（S-P）공심가압라정연합둔중기골판이식치료。결과27례환자균획수방，수방시간18～60개월，평균36개월。골성유합시간4～8개월、평균6.5개월，골절유합25례，유합솔93.3％，고골두배사3례、기중2례골절불유합후기발전위고골두결혈배사、령1례위내고정취출술후출현고골두배사。고골두배사솔위10.0％。결론채용개량S-P입로대고골두주위혈공파배소，둔중기골판이식연합공심가압라정치료청장년이위형고골경골절，대제고청장년이위형고골경골절유합솔화강저고골두결혈배사솔료효긍정，치득림상사용。
ObjectiveTo evaluate the effects of the hollow compression screws joint hip musculoskeletal flap transplantation in treating femoral neck fracture of shift type in young adults.MethodsBetween June 2008 and June 2012, 27 young adults with femoral neck fracture(GardenⅢ,Ⅳ) were treated with hollow compression screws joint hip musculoskeletal flap transplantation in treating femoral neck fracture of shift type using modified Smith-Peterson(S-P).Results27 patients were followed up 18 to 60 months, on average 36 months. The time of fracture healing was 4 to 8 months, on average 6.5 months. 35 cases of healing, healing rate was 93.3%. 3 cases of femoral head necrosis, necrosis rate was 10.0%.ConclusionHollow compression screws joint hip musculoskeletal flap transplantation is a reliable method for treating femoral neck fracture of shift type in young adults, with a high rate of fracture healing and a low rate of head necrosis, and is worthy of clinical promotion.