CAJ | 학술논문

目的：探讨空心螺钉内固定联合带旋髂深血管髂骨瓣移植治疗 Pauwels Ⅲ型青壮年股骨颈骨折的手术方法及疗效。方法对18例 Pauwels Ⅲ型青壮年股骨颈骨折患者采取空心螺钉内固定联合带旋髂深血管髂骨瓣移植术治疗,观察效果。结果18例全部获得随访,16例术后骨折顺利愈合,未出现股骨头坏死,髋关节功能恢复良好。2例晚期出现股骨头缺血坏死,行人工全髋关节置换。结论空心螺钉内固定联合带旋髂深血管髂骨瓣移植术是治疗 Pauwels Ⅲ型青壮年股骨颈骨折的有效方法,值得临床推广应用。
목적：탐토공심라정내고정연합대선가심혈관가골판이식치료 Pauwels Ⅲ형청장년고골경골절적수술방법급료효。방법대18례 Pauwels Ⅲ형청장년고골경골절환자채취공심라정내고정연합대선가심혈관가골판이식술치료,관찰효과。결과18례전부획득수방,16례술후골절순리유합,미출현고골두배사,관관절공능회복량호。2례만기출현고골두결혈배사,행인공전관관절치환。결론공심라정내고정연합대선가심혈관가골판이식술시치료 Pauwels Ⅲ형청장년고골경골절적유효방법,치득림상추엄응용。
Objective To investigate surgical method and curative effect of hollow screw internal fixation combined with deep iliac circum flex blood vessels iliac flap graft in the treatment of Pauwels Ⅲ type femoral neck fractures in young adults. Methods A total of 18 young adults patients with Pauwels Ⅲ type femoral neck fractures received hollow screw internal fixation combined with deep iliac circum flex blood vessels iliac flap graft for treatment. Effects were observed. Results All the 18 cases received follow-up, which showed 16 cases with good postoperative healing, good hip function rehabilitation and no femoral head necrosis. There were 2 cases with late avascular necrosis of femur head, and they received total hip arthroplasty. Conclusion Implement of hollow screw internal fixation combined with deep iliac circum flex blood vessels iliac flap graft is an effective method in treating Pauwels Ⅲ type femoral neck fractures in young adults. It is worth clinical promotion and application.