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qing zhuang nian zhong du gu gu jing gu zhe 89 li zhi liao fen xi
Author(s): 
Pages: 1606-1607
Year: Issue:  9
Journal: THE JOURNAL OF PRACTICAL MEDICINE

Keyword:  股骨颈骨折骨折固定术骨移植血管蒂髂骨瓣;
Abstract: 目的:报道青壮年重度股骨颈骨折的一种手术方法及治疗经验.方法:本组89例,平均33.5(19~50)岁,采用空心加压螺钉内固定+同种异体腓骨移植+带旋股外动脉血管蒂髂骨瓣植骨术治疗.结果:89例均获随访,平均随访时间4年5个月,无骨折不愈合发生,随访至2006年12月共发生股骨头缺血性坏死21例.坏死率为24%,尚无股骨头塌陷病例发生.结论:采用空心加压螺钉内固定+同种异体腓骨移植+带旋股外动脉血管蒂髂骨瓣植骨术治疗青壮年重度股骨颈骨折,能预防骨折不愈合发生,降低股骨头缺血性坏死、塌陷率,疗效确切.
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