Johnson K D, Brock G
Parkland Memorial Hospital, Dallas, Texas.
J Orthop Trauma. 1989;3(2):83-96. doi: 10.1097/00005131-198906000-00001.
Treatment of femoral neck fractures at a county hospital, Parkland Memorial Hospital, Dallas, Texas, from 1978 to 1983 was reviewed. A study of the use of the quadratus femoris muscle-pedicle graft (MPG) as adjunctive treatment to open reduction and internal fixation (ORIF) was in effect during that time. Patients who had primary prosthetic replacement of their femoral head were not included in the study. Two groups of patients were identified, one group that had ORIF without a muscle-pedicle graft (no-MPG) and another group that had ORIF with a muscle-pedicle graft (MPG). There were a similar number of patients in each group (MPG = 25 patients, no-MPG = 24 patients). Although the groups were not exactly similar, the overall outcome was unexpected. The no-MPG group had 76% good-to-excellent results whereas the MPG group had only 24%. A poor result or outright failure of the technique occurred in 68% of the MPG group and in only 16% of the no-MPG group. No accurate assessment of the incidence of avascular necrosis of the femoral head could be made.
回顾了1978年至1983年期间，得克萨斯州达拉斯帕克兰纪念医院这家县级医院对股骨颈骨折的治疗情况。在此期间，对使用股方肌肌蒂移植术（MPG）作为切开复位内固定术（ORIF）辅助治疗的应用情况进行了一项研究。股骨头初次假体置换的患者未纳入该研究。确定了两组患者，一组接受了无肌蒂移植的切开复位内固定术（无MPG组），另一组接受了有肌蒂移植的切开复位内固定术（MPG组）。每组患者数量相近（MPG组 = 25例患者，无MPG组 = 24例患者）。尽管两组并不完全相似，但总体结果出乎意料。无MPG组有76%的结果为良好至优秀，而MPG组仅有24%。MPG组中68%的患者出现了结果不佳或技术完全失败的情况，而无MPG组中这一比例仅为16%。无法对股骨头缺血性坏死的发生率进行准确评估。
