[1]张 彬,湛梅圣,冯硝刚,等.空心钉联合内侧支撑钢板固定治疗青壮年GardenⅢ、Ⅳ型 股骨颈骨折的疗效[J].医学信息,2019,32(12):176-178.[doi:10.3969/j.issn.1006-1959.2019.12.060]
　ZHANG Bin,ZHAN Mei-sheng,FENG Xiao-gang,et al.Treatment of Garden III and IV Femoral Neck Fractures in Young Adults with Cannulated Screws Combined with Medial Support Plate Fixation[J].Journal of Medical Information,2019,32(12):176-178.[doi:10.3969/j.issn.1006-1959.2019.12.060]
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空心钉联合内侧支撑钢板固定治疗青壮年GardenⅢ、Ⅳ型 股骨颈骨折的疗效()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年12期
页码:
176-178
栏目:
出版日期:
2019-06-15

文章信息/Info

Title:
Treatment of Garden III and IV Femoral Neck Fractures in Young Adults with Cannulated Screws Combined with Medial Support Plate Fixation
文章编号:
1006-1959（2019）12-0176
作者:
张 彬; 湛梅圣; 冯硝刚; 赵玉玺; 周永福; 王 浩; 柯友群
枣阳市第一人民医院骨科，湖北 枣阳 441200
Author(s):
ZHANG Bin; ZHAN Mei-sheng; FENG Xiao-gang; ZHAO Yu-xi; ZHOU Yong-fu; WANG Hao; KE You-qun
Department of Orthopaedics,Zaoyang First People's Hospital,Xiangyang 441200,Hubei,China
关键词:
股骨颈骨折; 空心钉; 内侧支撑钢板; 内固定
Keywords:
Key words：Femoral neck fracture; Cannulated nail; Medial support plate; Internal fixation
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2019.12.060
文献标志码:
B
摘要:
目的 观察空心钉联合内侧支撑钢板固定治疗青壮年GardenⅢ、GardenⅣ型股骨颈骨折的临床疗效。方法 回顾性分析2016年1月~2018年2月我院收治的21例青壮年GardenⅢ、GardenⅣ型股骨颈骨折患者，所有患者均通过前侧阔筋膜张肌及缝匠肌间隙入路置入股骨颈内侧支撑钢板，采用Garden指数评价骨折复位情况，Harris评分及VAS评分评价术后髋关节功能。结果 术后DR片显示21例骨折均达到 Garden Ⅰ级解剖复位标准，末次随访时内固定在位，未出现股骨头坏死、骨折不愈合、内固定断裂等情况；手术优良率为100.00%，术后 12个月Harris 评分高于术前[（90.46±2.69）分 vs （48.08±3.82）分]，差异有统计学意义（P＜0.05）；VAS疼痛评分为低于术前[（2.07±0.64）分vs（8.23±0.60）分]，差异有统计学意义（P＜0.05）。结论 前侧直接入路有限切开复位空心钉联合内侧支撑钢板固定治疗青壮年GardenⅢ、GardenⅣ型股骨颈骨折可行、有效，有助于降低骨折不愈合及股骨头缺血性坏死发生率。
Abstract:
Abstract：Objective To observe the clinical efficacy of cannulated screws combined with medial support plate fixation for the treatment of femoral neck fractures of Garden III and Garden IV in young adults. Methods A retrospective analysis of 21 cases of young and middle-aged Garden III and Garden IV femoral neck fractures admitted to our hospital from January 2016 to February 2018, all patients were placed through the anterior tensor fascia lata and sartorius muscle gap approach. The medial femoral neck was supported by the plate. The Garden index was used to evaluate the fracture reduction. The Harris score and VAS score were used to evaluate the hip function. Results Postoperative DR showed that 21 cases of fractures reached the Grade I anatomical reduction criteria. At the last follow-up, the patients were fixed in place. There was no femoral head necrosis, fracture nonunion, internal fixation fracture, etc. The excellent and good rate of operation was 100.00%. The 12-month Harris score was higher than preoperative [(90.46±2.69) points vs (48.08±3.82) points], the difference was statistically significant (P<0.05); the VAS pain score was lower than preoperative [(2.07±0.64) points vs (8.23±0.60) points,the difference was statistically significant (P<0.05). Conclusion The anterior direct approach with limited open reduction and cannulated screws combined with medial support plate fixation is feasible and effective in the treatment of young and middle-aged Garden III and Garden IV femoral neck fractures, which is helpful to reduce the incidence of nonunion and avascular necrosis of the femoral head.

参考文献/References:

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更新日期/Last Update: 2019-06-15