The treatment of serious femoral neck fractures with vascularized great trochanter bone flap transposition in young adults
- VernacularTitle:带血管蒂大转子骨瓣移位修复青壮年股骨颈骨折
- Author:
Zhenyu PAN
;
Aixi YU
;
Guorong YU
;
Shaobo ZHU
;
Kai DENG
- Publication Type:Journal Article
- Keywords:
Femoral neck fractures;
Bone flap;
Transposition;
Microsurgical operation
- From:
Chinese Journal of Microsurgery
2008;31(4):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the curative effect of the treatment of serious femoral neck fractures with vascularized great trochanter bone flap transposition in young adults.Methods Twenty-nine cases were investigated.In which Garden type Ⅲ were 10 and type IV 19.There were 12 ca$,e8 of fresh fractures and 17 old fractures.According to the X-ray films of old fractures,caput femoris necrosis occurred in 7 patients.Tibial tubercle traction was carried out as preoperative preparation as soon as the patients were sent to hospital.The operation was performed by combining hollow-lag-svcrews fixing with vascularized great trochanter bone flap transposition.Results The foUow-up lasted 39 to 84 months,with an average of 54 months.The patients suffering from fresh femoral neck fractures all recovered and no necrosis WaS found.The healing time was between 4 to 6 months,with an average of 4.5 months or so.And old fractures were all healed up almost within the same time.The recovery time of patients who suffered from fractures and necrosis was with an average of 12.5 months.Of 10 cases of old fractures without caput femoris necrosis prior to operation,necrosis occurred in 3 c88es.The functions of hip joints of 15 cases completely recoveTed,and 12 patients were partially restricted.Another 2 patients could not squat because the flexion function was seriously restricted.The crispation of limbs was well corrected.According to Harris standard.the postoperative mean SCOre is 89.2.Concision It is good for treatment of serious femoral neck fractures with vascularized great trochanter bone flap transposition in young adults.
