李卫哲;庄瑞卓;贾军;贾健;

• 1:天津市天津医院
• 2:天津市宁河县中医院

摘要(Abstract)：

[目的]探讨股骨颈骨折空心钉固定术后空心钉脱出与并发症的关系。[方法]对2008年10月～2010年10月间于天津医院创伤骨科行内固定治疗的135例股骨颈骨折患者资料进行回顾性分析。男61例,女74例;年龄18～78岁,平均48.6岁。摔伤83例,车祸45例,其他损伤7例。按股骨颈骨折Garden分型:Ⅱ型9例,Ⅲ型75例,Ⅳ型51例。随访16～56个月,平均38.2个月。[结果]52例(38.5%)发生股骨颈短缩愈合;9例(6.7%)发生骨折不愈合;20例(14.8%)出现股骨头坏死;42例(31.1%)术后发生空心钉脱出,其中伴短缩愈合24例(46.2%)、不愈合6例(66.7%)、股骨头坏死12例(60%)。术后空心钉脱出的发生与骨折Garden分型、骨质疏松Singh指数及骨折复位的Garden指数密切相关;且与骨折短缩愈合、骨折不愈合、股骨头坏死有密切关系。[结论]密切关注股骨颈骨折术后内固定的松动情况,防止空心钉过度脱出将有助于减少术后并发症,提高疗效。

关键词(KeyWords)： 股骨颈骨折;骨折内固定术;脱出;骨折不愈合;骨坏死

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 李卫哲;庄瑞卓;贾军;贾健;

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参考文献(References)：

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