Role of muscle pedicle bone graft as an adjunct to open reduction and internal fixation in the management of neglected and ununited femoral neck fracture in young adults: a prospective study of 17 cases.
Role of muscle pedicle bone graft as an adjunct to open reduction and internal fixation in the management of neglected and ununited femoral neck fracture in young adults: a prospective study of 17 cases.
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DOI：
10.1007/s00590-013-1384-x
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发表时间：
2014-10-01
期刊：
影响因子：
--
通讯作者：
Babu, Thirunavukkarasu Arun
中科院分区：
文献类型：
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作者：
Nair, Naveen;Patro, D K;Babu, Thirunavukkarasu Arun
目的：探讨股方肌肌蒂骨移植沿着切开复位内固定治疗青壮年股骨颈骨折不愈合的作用。材料与方法：年龄在15-45岁的青壮年股骨颈骨折不愈合，陈旧性股骨颈骨折被纳入本研究。所有患者均行股方肌肌蒂沿着植骨，切开复位内固定。采用Charnley改良Merle D 'Aubigne髋关节评分和Postel髋关节评分对术后并发症和功能恢复进行评价。术后平均愈合时间约为8个月。有2例延迟愈合，无缺血性坏死病例。10例（58.8%）患者术后功能恢复良好或很好，6例（35.3%）患者术后功能恢复良好或满意。结论：肌蒂植骨是治疗股骨颈骨折不愈合的有效辅助手段。与其他方法相比，它实现了良好的最终功能结果，但需要更多的专业知识。
AIM: To evaluate the role of quadratus femoris muscle pedicle bone grafting along with open reduction and internal fixation in the treatment of neglected and ununited femoral neck fractures in young adults.MATERIALS AND METHODS: Young adults within the age group of 15-45 years with ununited, old neglected fractures of femoral neck were included in the study. All patients underwent quadratus femoris muscle pedicle bone grafting along with open reduction and internal fixation. The post-operative complications and functional recovery was assessed using Charnley's modification of Merle D'Aubigne and Postel hip scoring.RESULTS: A total of 17 patients were included in the study. The average time of union following the procedure was found to be approximately 8 months. There were two cases of delayed union and no cases of avascular necrosis. Ten patients (58.8%) had excellent or very good post-operative functional results and 6 patients (35.3%) had good or satisfactory results.CONCLUSION: Muscle pedicle bone grafting is a useful adjunct to open reduction and internal fixation for ununited femoral neck fractures. It achieves good final functional results comparable with other methods, but requires greater expertise.