闭合复位经皮心钉内固定术治疗GardenⅢ,Ⅳ型老年人股骨颈骨折的临床疗效分析.pdfVIP

提 要 目的：探讨闭合复位经皮空心钉内固定术治疗 GardenⅢ, Ⅳ型老年人股骨颈骨 折的手术方法及治疗效果，为临床老年人股骨颈骨折内固定方式的选择及以后的研究 提供依据。 方法：收集自2010年7月至2011年8月在山东中医药大学附属医院骨科病房住院 并接受闭合复位经皮空心钉内固定术治疗的GardenⅢ, Ⅳ 型老年人股骨颈骨折患者 63例。其中男性27例，女性36例；年龄均在56~79 ，平均65.35岁,56~65岁32例，66~75 岁19例，76~79岁12例；左侧34例，右侧29例；按Garden分型：Ⅲ型37例，Ⅳ型26例。 术后随访8~ 16月。 结果：本组63例骨折病人，有 1例骨折不愈合患者，发生率为1.6%，有6例发 生股骨头缺血性坏死，发生率为9.5%，该方法总体治愈率为88.9%。 结论：闭合复位经皮空心钉内固定术治疗GardenⅢ, Ⅳ 型老年人股骨颈骨折是 一种创伤小，而且固定可靠的治疗方法。该方法有效的降低了骨折不愈合及股骨头缺 血性坏死的发生率 ，是治疗老年人股骨颈骨折的可靠方法。 关键词 股骨颈骨折；老年人；闭合复位经皮空心钉内固定术； The Clinical Research of Close Reduction and Percutaneous Internal Fixation by Compressive Screw in Treatment of Femoral Neck Fractures of Garden Ⅲ，Ⅳ in Elderly Patients Speciality: Orthopedics of chinese medicine Author: Wang Junchao Tutor: Prof. Xiao Yi Abstract Objective: To investigate the clinical research of close reduction and percutaneous internal fixation by compressive screw in treatment of femoral neck fractures of Garden Ⅲ，Ⅳ in elderly patients surgery and treatmend. For clinical old people femoral neck fracture fixation for selection and provide a basis for future research. Methods: Collected from July 2010 to August 2011 in shandong university of traditional Chinese medicine hospital orthopaedic hospital ward and accept the surgical treatment of patients ，were selected the clinical research of close reduction and percutaneous internal fixation by compressive screw in treatment of femoral neck fractures of Garden Ⅲ，Ⅳ in elderly patients were 63 cases of cases. 27 cases of male,female cases 36. The age is more than 56 to 79 years old, average 65.35 years old, 56 to 65 years old have 32 cases, 66 to 75