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中空加压螺钉内固定治疗股骨颈骨折的临床分析
引用本文:马维疆,许杰.中空加压螺钉内固定治疗股骨颈骨折的临床分析[J].国际医药卫生导报,2003,9(12):7-8.
作者姓名:马维疆  许杰
作者单位:1. 连州市人民医院骨科,广东,连州,513400
2. 中山大学孙逸仙记念医院骨科,广东,广州,510120
摘    要:目的探索中空加压螺钉内固定治疗股骨颈骨折方法及临床疗效.方法X线光机下,股骨颈骨折手法复位成功后,经股骨外侧向股骨头打入三枚导针,旋入三枚中空加压螺钉内固定.并对其随访及临床分析.结果随访得71例,有66例骨折愈合、髋关节活动正常、无疼痛或有轻微的疼痛、不影响工作和生活,占93.0%.骨折不愈合5例,占7.0%.股骨头坏死6例,占8.5%.结论中空加压螺钉内固定治疗股骨颈骨折手术创伤小,固定可靠,疗效好,股骨颈骨折不愈合和股骨头坏死率低.

关 键 词:股骨颈  骨折  内固定
文章编号:1007-1245(2003)06-0007-02
修稿时间:2003年3月4日

The clinical analysis on internal fixation with three hollow-compression-screw for treatment femoral neck fracture
Ma weijiang,Xu Jie.The clinical analysis on internal fixation with three hollow-compression-screw for treatment femoral neck fracture[J].International Medicine & Health Guidance News,2003,9(12):7-8.
Authors:Ma weijiang  Xu Jie
Institution:Ma weijiang1 Xu Jie21Department of Orthopaedics,The People`s Hospital of Lianzhou City,Guangdong 5134002Department of Orthopaedics,Memorial Hospital,Sun Yat-sen University,Guangzhou 510120
Abstract:Objective To study the method and the effect of internal fixation with three hollow-compression-screw for femoral neck fracture .Methods 86 cases of femoral neck fracture were treatedwith closed reduction and internal fixation with three-hollow-compression-screw. Results 71 caseswere obtained in follow-up group. The average follow-up were 26 months, the excellent and good resultswere 93%. Femoral head necrosis occurred in 6 cases (8.5%). Non-union were 5 cases (7%).ConclusionThe therapeutic method has many advantage such as easy to operate, reliable fixation and satisfactoryeffect. Femoral head necrosis and Non-union were reduce.
Keywords:Femoral neck  Fracture    Internal fixation
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