目的观察有限切开空心钉内固定治疗青壮年股骨颈GardenⅢ、Ⅳ型骨折的疗效。方法 2009年9月至2011年7月,对26例青壮年股骨颈骨折采用有限切开空心钉内固定治疗,按Harris评分进行疗效评定。结果随访6个月至3年,平均1.6年。切口全部一期愈合,平均骨折愈合时间为7个月。按Harris评分:优13例,良8例,可4例,差1例,优良率为81%。结论有限切开空心钉内固定是治疗青壮年股骨颈GardenⅢ、Ⅳ型骨折的有效方法。

Objective To investigate the efficacy of cannulated screw combining limited incision for the treatment of Garden Ⅲ, Ⅳ type femoral neck fractures in younger adults. Methods From September 2009 to July 2011, 26 cases of femoral neck fractures were treated using cannulated screw combining limited incision. The clinical efficacy was evaluated according to Harris score. Results All the patients were followed up for 6 months to 3 years (mean 1.6 years). The incisions were healed by first intension and the fractures were healed in 7 months on average. According to Harris score, 13 cases were evaluated as excellent, 8 cases as good, 4 cases as fair and 1 case as poor, the choice rate was 81%. Conclusion Cannulated screw combining limited incision is effective for the treatment of Garden III, IV type femoral neck fractures in younger adults.