Gautam V K, Anand S, Dhaon B K
Department of Orthopaedics, Maulana Azad Medical College, New Delhi, India.
Injury. 1998 Apr;29(3):215-8. doi: 10.1016/s0020-1383(97)00184-8.
25 young adults (age 15-50 years) with femoral neck fractures were operated on an ordinary operating table, using a Watson-Jones approach. Open reduction of the fracture site through an anterior capsular incision was performed and fixation with three cancellous screws was done. Patients were regularly assessed for clinical and radiological evidence of non-union and avascular necrosis. Average follow-up was 32 months. Non-union was seen in one case (4 per cent) and evidence of avascular necrosis was seen in three cases (12 per cent). The results were compared with available published series of similar fractures, treated by closed and open reduction technique. The comparison showed that in young adults, primary open reduction and internal fixation of femoral neck fractures can be recommended as the treatment of choice.
25名年龄在15至50岁之间的股骨颈骨折青年患者在普通手术台上接受了手术，采用Watson-Jones入路。通过前关节囊切口对骨折部位进行切开复位，并用3枚松质骨螺钉进行固定。定期对患者进行评估，以获取骨不连和缺血性坏死的临床及影像学证据。平均随访时间为32个月。1例（4%）出现骨不连，3例（12%）出现缺血性坏死迹象。将结果与已发表的采用闭合和切开复位技术治疗的类似骨折系列进行比较。比较结果表明，对于青年患者，股骨颈骨折一期切开复位内固定可作为首选治疗方法。
