闭合复位经皮空心钉固定治疗青少年股骨颈骨折的临床观察

发布时间：2018-11-08 09:59

【摘要】：目的:分析闭合复位经皮空心钉固定治疗青少年股骨颈骨折的临床疗效及影响因素,为青少年股骨颈骨折的手术治疗提供依据。方法:分析36例采用闭合复位经皮空心钉固定手术治疗的青少年股骨颈骨折患者的临床疗效及影响因素。观察患者伤后至手术的时间、X线片评估骨折愈合的时间、髋关节功能Harris评分对术后功能的评估及并发症发生情况。结果:36例患者均获得随访,随访时间6~24个月,平均16个月。36例患者有1例出现股骨头坏死,占全部患者的2.78%;2例骨折不愈合,占全部患者的5.56%。其余33例患者骨折均完全愈合。髋关节功能评分优26例,良6例,中2例,差2例,优良患者构成比88.89%。结论:闭合复位经皮空心钉固定治疗青少年股骨颈骨折是有效的手术方案,合适的手术时机、良好的复位和牢固的内固定可减少股骨头坏死及并发症的发生率。
[Abstract]:Objective: to analyze the clinical effect and influencing factors of closed reduction and percutaneous hollow nail fixation in the treatment of juvenile femoral neck fracture, and to provide the basis for the surgical treatment of juvenile femoral neck fracture. Methods: the clinical effect and influencing factors of 36 cases of juvenile femoral neck fracture treated by closed reduction and percutaneous hollow nail fixation were analyzed. The time from injury to operation, the time of fracture healing by X-ray film, the evaluation of postoperative function by Harris score of hip joint function and the occurrence of complications were observed. Results: all the 36 patients were followed up for 6 ~ 24 months (mean 16 months). One of the 36 patients had femoral head necrosis, which accounted for 2.78% of all patients and 2 cases of nonunion, accounting for 5.56% of all patients. The other 33 cases were completely healed. The hip function score was excellent in 26 cases, good in 6 cases, fair in 2 cases and poor in 2 cases. Conclusion: closed reduction and percutaneous hollow nail fixation is an effective operative method for juvenile femoral neck fracture. Good reduction and firm internal fixation can reduce the incidence of femoral head necrosis and complications.
【作者单位】：吉林大学第二医院骨科医院诊疗中心;
【基金】：吉林省科技厅自然科学基金资助课题(20160101015JC)
【分类号】：R726.8

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