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中空双头螺纹加压钉治疗儿童股骨颈骨折
引用本文:苏秀君,刘俊雄,张青华,雷书宏,严笑,武双善. 中空双头螺纹加压钉治疗儿童股骨颈骨折[J]. 临床骨科杂志, 2005, 8(3): 253-254
作者姓名:苏秀君  刘俊雄  张青华  雷书宏  严笑  武双善
作者单位:商洛市中心医院骨科,陕西,商洛,726000
摘    要:目的探讨中空双头螺纹加压钉治疗儿童股骨颈骨折的疗效。方法采用中空双头螺纹加压钉治疗儿童股骨颈骨折18例,与采用多根骨圆针治疗该骨折的20例进行疗效对比。结果随访2~5年,平均3.2年,螺纹加压钉组3个月骨折愈合率明显高于骨圆针组(P<0.01),关节疼痛及跛行螺纹加压钉组低于骨圆针组(P<0.05),股骨头缺血坏死例数螺纹加压钉组明显少于骨圆针组(P<0.01)。结论中空双头螺纹加压钉是治疗儿童股骨颈骨折的有效方法,优于多根骨圆针内固定。

关 键 词:股骨颈骨折 中空双头螺纹加压钉 骨折固定术,内 儿童
文章编号:1008-0287(2005)03-0253-02
修稿时间:2004-09-14

Two-way cannulated compressive screws for children femoral neck fracture
SU Xiu-jun,LIU Jun-xiong,ZHANG Qing-hua,LEI Shu-hong,YAN Xiao,WU Shuang-shan. Two-way cannulated compressive screws for children femoral neck fracture[J]. Journal of Clinical Orthopaedics, 2005, 8(3): 253-254
Authors:SU Xiu-jun  LIU Jun-xiong  ZHANG Qing-hua  LEI Shu-hong  YAN Xiao  WU Shuang-shan
Abstract:Objective To investigate the effect of two-way cannulated compressive screws for children femoral neck fractures. Methods 18 cases (Group A) of children femoral neck fractures were treated with two-way cannulated compressive screws, while 20 (Group B) with pins as control. Results All cases were followed up for 2~5 years, 3.2 on average. The healing rate was higher in Group A than that in Group B (P<0.01) in 3 months. Less pain and claudication were found in group A than in group B (P<0.05). The rate of femoral head necrosis was lower in Group A than that in Group B (P<0.01). Conclusions The two-way cannulated compressive screws is effective for children femoral neck fractures, which is better than pins.
Keywords:femoral neck fractures  two-way cannulated compressive screws  fracture fixation  internal  child
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