切开复位内固定联合旋髂深血管束髂骨瓣移植治疗青壮年股骨颈骨折

doi:10.16260/j.cnki.1009-2188.2017.05.010

Chinese Journal of Modern Operative Surgery

2017, Vol. 21

Issue (5): 361-365 DOI: 10.16260/j.cnki.1009-2188.2017.05.010

Clinical Research

Treatment of Open Reduction and Internal Fixation Combined with Vascularized Iliac Grafting for Displaced Femoral Neck Fractures in Young Adults

LI Moulin, ZHOU Zhi, YIN Wenjun, WAN Lifei, YU Ganpeng, SONG Ruiqing

Department of Orthopedics, the Affiliated of Ningxiang Hospital of Hunan University of Chinese Medicine, Ningxiang 410600, Hunan, China

Abstract
Figure/Table
References
Related Citation (1)

Download:

HTML

PDF (811KB)
Export: BibTeX | EndNote (RIS)

Abstract ObjectiveTo study the clinical effect of open reduction and internal fixation of compression screws combined with vascularized iliac grafting to treat displaced femoral neck fracture in young adults.Method21 patients with femoral neck fractures (Garden III or Ⅳ) aged from 15 to 35 years old were treated by open reduction, internal fixation with compression screw and vascularized iliac grafting.ResultsAll wounds of 21 patients cured without infection, iliac displacement and screw loose. All cases were followedup for 12 to 72 months with an average of 24 months. Bone union was achieved in all cases 6 to 9 months after the surgery, and no fracture nonunion and avascular necrosis of femoral head occurred. The lateral femoral cutaneous nerve injury was found in 1 case, and restored 6 months after the surgery. According to the Harris hip score (HSS), the hip joint function evaluation revealed excellence in 15 cases, good in 5 cases, fair in 1 case, and the fineness rate was 95.2%.ConclusionThe treatment of open reduction, internal fixation of compression screws combined with vascularized iliac grafting is effective for femoral neck displacement fractures in young patients.

Key words： femoral neck fractures iliac bone flap bone transplantation fractures fixation

Published: 25 May 2018

ZTFLH:

R683.42

	Service
	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	李谋林，周智，尹文军，万里飞，喻赣鹏，宋瑞清

Cite this article:

李谋林，周智，尹文军，万里飞，喻赣鹏，宋瑞清. Treatment of Open Reduction and Internal Fixation Combined with Vascularized Iliac Grafting for Displaced Femoral Neck Fractures in Young Adults[J]. Chinese Journal of Modern Operative Surgery, 2017, 21(5): 361-365.

URL:

http://www.surgerychina.com/EN/10.16260/j.cnki.1009-2188.2017.05.010 OR http://www.surgerychina.com/EN/Y2017/V21/I5/361

［1］	周军杰，曹成福，庞金辉，等. 不同内固定手术方法治疗不稳定型股骨颈骨折的对照分析［J］. 中国矫形外科杂志,2013,21(2):136139.
［2］	Kaplan T, Akesen B, DemiraˇB, et al. Comparative results of percutaneous cannulated screws, dynamic compression type plate and screw for the treatment of femoral neck fractures［J］. Ulus Travma Acil Cerrahi Derg, 2012, 18(1):6570. doi: 10.5505/tjtes.2011.33427.
［3］	周智，陈顺德，唐本夫. 带旋髂深血管束髂骨瓣结合异体骨钉内固定治疗股骨颈骨折［J］. 中国骨与关节损伤杂志，2005，20(6):419420.
［4］	何爱咏, 李康华. 带缝匠肌蒂髂骨块移植与加压螺纹钉固定治疗中青年股骨颈骨折［J］. 中国现代手术学杂志，2007，11(3):183184.
［5］	Pal CP, Kumar B, Dinkar KS, et al. Fixation with cancellous screws and fibular strut grafts for neglected femoral neck fractures［J］. J Orthop Surg (Hong Kong), 2014, 22(2):181185.
［6］	王上增，孙永强，沈锦涛. 锁定钢板及带肌蒂髂骨瓣治疗青壮年GardenⅢ、Ⅳ型股骨颈骨折［J］. 实用医学杂志，2015，31(10):17251726.
［7］	危勇，林传松，杨爱勇，等. 带旋髂深血管蒂髂骨瓣治疗股骨颈骨折27例［J］. 中华显微外科杂志，2011，34(3):240241.
［8］	黄恺，王子明，杜全印，等. 带血管蒂髂骨膜瓣移植术治疗儿童股骨颈陈旧性骨折临床分析［J］. 第三军医大学学报，2014，36(18):19531956.
［9］	宋世锋，马业涛，张熙民，等. 部分臀中肌髂骨瓣重建青壮年股骨头颈部血供的临床研究［J］. 中华创伤骨科杂志，2011，13(7):644648.
［10］	Siavashi B, Aalirezaei A, Moosavi M, et al. A comparative study between multiple cannulated screws and dynamic hip screw for fixation of femoral neck fracture in adults［J］. Int Orthop, 2015, 39(10):20692071. doi: 10.1007/s0026401528819.
［11］	虎伟山，李山珠，袁锋. 三枚和四枚空心钉内固定治疗股骨颈骨折的比较研究［J］. 中国骨与关节损伤杂志，2013，28(4):307309.
［12］	李智勇，张奇，张英泽，等. 股骨头钻孔减压和早期植骨治疗股骨颈骨折疗效分析［J］. 河北医药，2015，44(19):29072910.
［13］	赵智君，陈浩，邓玉海，等. 股方肌骨瓣治疗青壮年陈旧性股骨颈骨折的临床研究［J］. 中国骨与关节损伤杂志，2014，29(2):171172.
［14］	Kumar S, Bharti A, Rawat A, et al. Comparative study of fresh femoral neck fractures managed by multiple cancellous screws with and without fibular graft in young adults［J］. J Clin Orthop Trauma, 2015, 6(1):611. doi: 10.1016/j.jcot.2014.12.008.
［15］	王卫红，刘宗良，邵聪吉，等. 改良带旋髂深血管蒂髂骨瓣的应用解剖研究及临床应用［J］. 中华解剖与临床杂志，,2010，15(1):1214.
［16］	杨志明，温玉明. 带血管蒂组织瓣移位手术学［M］. 成都：四川科学技术出版社,2005.259261.
［17］	王岩，朱盛修，赵德伟. 带旋髂深血管蒂髂骨骨膜移植治疗股骨头缺血性坏死及疗效评价［J］. 中华骨科杂志，1995，15(9):567569.