Kan Wu-sheng, Zhou Bi-guang, Huang Heng, Xing Dan-mou, Peng Yong-hai, Wang Jun-wen
4th Hospital of Wuhan, Orthopaedics Hospital of Wuhan, Wuhan, Hubei, P. R. China 430033.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2002 Jul;16(4):268-70.
To summarize the clinical results of hollow compression screw in treatment of fracture of neck of femur in the aged.
From November 1993 to October, 1998, 52 aged patients with several types of fracture of neck of femur were treated; among them, there were 25 males and 27 females aged from 60 to 83 years (70 years on average). There were 48 cases of fresh fracture and 4 cases of old fracture. Forty-two cases were performed closed reduction internal fixation, 10 cases with open reduction internal fixation.
All the patients could sit by themselves 4 to 6 days after operation, and could walk with a crutch 10 to 15 days after operation. The mobility of hip joint was nearly normal 4 weeks after operation. All the patients were followed 26 to 84 months, 48.5 months on average. Bone union was achieved in 50 cases, nonunion in 2 cases. The average healing time was 4.7 months. There were no other complications, such as ankylosis and muscular atrophy, but ischemic necrosis in 3 cases.
This method has following advantages, convenient manipulation, less injury, stable fixation, and the short-term recovery, which avoid some common complications. It is a reliable method worthy of popularizing.
总结空心加压螺钉治疗老年股骨颈骨折的临床效果。
1993年11月至1998年10月，治疗52例老年股骨颈骨折患者，其中男25例，女27例，年龄60～83岁，平均70岁。新鲜骨折48例，陈旧骨折4例。42例行闭合复位内固定，10例行切开复位内固定。
所有患者术后4～6天可坐起，术后10～15天可扶拐行走。术后4周髋关节活动度基本正常。所有患者随访26～84个月，平均48.5个月。50例骨折愈合，2例未愈合。平均愈合时间4.7个月。无关节强直、肌肉萎缩等其他并发症，但有3例发生缺血性坏死。
该方法操作简便，创伤小，固定可靠，恢复快，避免了一些常见并发症，是一种值得推广的可靠方法。
