首页|自制导引器经皮置入螺钉内固定治疗股骨颈骨折

自制导引器经皮置入螺钉内固定治疗股骨颈骨折

Treatment of the femoral neck fracture by percutaneous screwing internal fixation with self-made guide device

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目的 探讨自制导引器经皮置入螺钉内固定治疗股骨颈骨折的疗效.方法 采用自制导引器经皮置入螺钉内固定治疗8 例股骨颈骨折患者.记录术中透视次数、钻孔次数、骨折复位情况、骨折愈合时间、髋关节功能恢复情况.结果 患者均获得6 个月随访.术中透视5~12 次,术中钻孔3~10 次.术后X线片显示骨折均解剖复位.骨折均愈合,时间3~6 个月.末次随访时,髋关节Harris评分 85~96 分,其中优 5 例,良 3例;患者均可扶拐行走,髋关节无疼痛.结论 采用自制导引器经皮置入螺钉内固定治疗股骨颈骨折,操作方便,可减少透视次数及钻孔次数,而且能明显提高置钉的准确性,使空心螺钉呈经典的倒三角排列,进一步提升了固定的稳定性.
Objective To investigate the effect of percutaneous screwing internal fixation with self-made guide device for treatment of femoral neck fracture.Methods The 8 cases of femoral neck fractures were treated by percutaneous screwing with self-made guide device.The drilling times,fluoroscopy times,fracture reduction situation,fracture heal-ing time and the functional recovery of hip joint were recorded.Results All patients were followed up for 6 months.Intraoperative fluoroscopy frequency were 5~12 times,intraoperative drilling frequency were 3~10 times.Postopera-tive radiographs showed that all fractures were all anatomical reduction.All fractures healed in 3~6 months.At the last follow-up,the Harris scores of hip joints were 85~96 points,of which 5 cases were excellent and 3 cases were good.All patients could walk with crutches,without of hip pain.Conclusions Percutaneous screwing with self-made guide for the treatment of femoral neck fracture is convenient to operate,which can reduce the times number of fluoros-copy and drilling,and can significantly improve the accuracy of screwing,so that the cannulated screws are arranged in a classic inverted triangle,and further improve the stability of fixation.

guide devicefemoral neck fracturespercutaneous screwing

王露、王业、张厚庆

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南京医科大学附属明基医院苏州院区骨科,江苏 苏州 215010

导引器 股骨颈骨折 经皮置钉

2024

临床骨科杂志
安徽医科大学,安徽省医学会

临床骨科杂志

CSTPCD
影响因子:1.438
ISSN:1008-0287
年,卷(期):2024.27(1)
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