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经皮3枚7.3 mm空心螺丝钉治疗新鲜股骨颈骨折32例
http://www.100md.com 《中华现代外科学杂志》 2006年第20期
新鲜股骨颈骨折;经皮骨折固定术;空心螺丝钉,,],新鲜股骨颈骨折;经皮骨折固定术;空心螺丝钉,经皮3枚7.3mm空心螺丝钉治疗新鲜股骨颈骨折32例,1资料与方法,2结果,3讨论,[参考文献]
     [摘要] 目的 总结3枚7.3 mm空心螺丝钉治疗新鲜股骨颈骨折的效果并分析其特点。方法 治疗32例,其中男25例,女7例;年龄19~83岁,平均53.3岁。闭合复位30例,切开复位2例,在“C”型臂X线机监视下,经皮将3枚导针呈等腰三角形平行打入,经导针将空心螺丝钉旋入加压固定。结果 随访5~37个月,平均随访13.1个月;30例全部愈合,愈合时间2~6个月,平均愈合时间3.8个月。2例发生缺血坏死,无其他严重并发症,优良率为93.75%。结论 空心螺丝钉呈等腰三角形平行固定可获得良好的固定效果,有动力加压作用,创伤小、愈合率高、并发症少,是目前比较理想的股骨颈骨折治疗手段。

    [关键词] 新鲜股骨颈骨折;经皮骨折固定术;空心螺丝钉

    Treatment of 32 cases of femoral neck fresh fracture with percutaneous three 7.3mm hollow screws

    GAO Jin-wei,ZHANG Chun-he.Shanxi corps Hospital of Chinese Armed Police,Shanxi 030006,China

    [Abstract] Objective To evaluate the characteristics and summarize the effect of treatment of femoral neck fresh fracture with three 7.0 mm hollow screws.Methods Among 32cases,there were 25 males and 7 females with an average age of 53.3 years (19~83 years).Close reduction was done in 30 cases and open reduction was in 2 cases.The fractures were fixated by 3 parallel hollow screws in the form of isosceles triangle under monitoring of type C arm X-ray machine.Results The average follow up was 13.1 months (5~37 months).All of 32 cases were healed.The average healing period was 3.8 months (2~6 months).Two cases developed necrosis of femoral head ......

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