带血管蒂大转子骨瓣转移加内固定治疗中青年股骨颈骨折

目的：研究中青年不稳定型股骨颈骨折的治疗手段。方法：采用Moore切口，应用带旋股内动脉支大转子支骨瓣转移压螺钉内固定治疗中青年不稳定型股骨颈骨折26例。随访2年以上。结果：骨折愈合率100％，骨折愈合时间4－9个月，股骨头坏死率7．7％。结论：该术式有解剖学基础，简便易行，是治疗中青年不稳定股骨颈骨折较好方法，尤适用于股骨颈后方有骨缺损。

Treatment for the Fracture of Femoral Neck with Vascularied Pedicle Greater Trochanter Bone Flap and Compression-screw Intenal Fixation

Objective:To explore a effective method of treatment for unstable femoral neck fractures of the young and the middle-aged. Method:Twenty-six cases were treated by great trochanter flap pedicled with deep branch of the medial femoral ciramflexa artery and compression-internal fixation through posterior Moore approach and folllowed up more than two years. Result:The rate of bone healing was 100%. The rate of femoral head necrosis was 7. 7%. The unioning periods were 4 to 9 months. Conclusion:It is easy and simple on the basis of anatomy for the method to be used for treatment femoral neck fractures,especially for the cases withdefect at the back of the femoral neck.