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1、空心钉锁定板治疗中青年不同类型股骨颈骨折临床疗效［摘要］目的探讨空心钉锁定板治疗中青年不同类型股骨颈骨折的临床疗效。方法2009年10月〜2011年9月采用牵引复位，空心钉锁定板内固定治疗65例不同类型股骨颈骨折；GardenI型6例，II型10例，型29例，IV型20例；术后1、2、3、6、12个月门诊随访复查，观察骨折(内固定)位置，骨折愈合，股骨头缺血坏死，豔关节功能情况。结果术后伤口均I期愈合；随访时间12〜30个月，平均18个月；骨折不愈合4例(GardenIII型1例，IV型3例),股骨头缺血坏死7例(GardenIII型1例
2、，IV型2例，继发骨不愈合4例)，骨折愈合时间6-11.2个月，平均9个月；未见骨折移位、内固定断裂松动等情况；Harris评分术前(40.83±9.27)分，术后(89.39±6.29)分，骯关节功能较术前明显恢复，差异有统计学意义。结论空心钉锁定钢板具有固定牢固,骨折愈合率高等优势，治疗中青年GardenI、II、III型股骨颈骨折效果确切。［关键词］股骨颈骨折；空心钉锁定钢板；股骨头缺血坏死；骨折不愈合［中图分类号］R683［文献标识码］A［文章编号］2095-0616(2014)13-31-04［Abstract］Objectiv
3、eTosummarizeandanalyzetheclinicalefficacyofcannulatedscrewlockingplateinthetreatmentofdifferenttypesoffemoralneckfractureinyoungandmiddle-agedpatients・Methods65patientswithdifferenttypesoffemoralneckfractureweretreatedviatractivereductionandinternalfixationofcannulatedscr
4、ewlockingplatefromOctober2009toSeptember2011.Therewere38malepatientsand27femaleones,withtheagesof19-60yearsandtheaverageof43.5years.6patientsbelongedtoGardentypeI,10typeII,29typellland20typeTV.Outpatientfollow-upswerecarriedout1month,2months,3months,6monthsand12monthsafte
5、rthesurgery,andfractureposition(internalfixation),fracturerecovery,avascularnecrosisoffemoralheadandfunctionofhipjointwereobserved.ResultsAllwoundsrecoveredatstageTafterthesurgery；thefol1ow-upslasted12-30months,withtheaverageof18months；fracturenonunionwasseenin4patients(1
6、Gardentypellland3typeTV),avascularnecrosisoffemoralheadwasseenin7patients(1Gardentypelll,2typeIV,and4secondarynonunion),andfracturerecoverytimewas6一11.2inonths,withtheaverageof9months；nodisplacedfractureandloosenedorbrokeninternalfixationwereseen；Harrisscorewas(40.83+9.27
7、)beforethesurgeryand(89.39+6.29)afterthesurgery,showingthatthefunctionofhipjointimprovedsignificantlycomparedtothatbeforethesurgery,andthedifferencewasstatisticallysignificant.ConclusionCannulatedscrewlockingplatehastheadvantagesoffirmfixationandhighfracturerecovery,andha
8、sanexactcurativeeffectinthetreatmentofGardenI,IIandIIIfemoralneckfractureinyoungandmiddle-agedpa
