髋关节后侧入路结合大粗隆截骨治疗PipkinⅣ型股骨头骨折

目的:探讨髋关节后侧入路结合大粗隆截骨治疗Pipkin IV型股骨头骨折的疗效。方法:回顾性分析我院2006年3月至2012年10月采用髋关节后侧入路结合大粗隆截骨治疗Pipkin IV型股骨头骨折患者共8例。其中男5例,女3例。结果:本组病例随访时间为18~58个月,平均36个月。按照采用Thompson-Epstein疗效评定标准,优:3例;良:3例;可:2例。结论:髋关节后侧入路结合大粗隆截骨治疗PipkinⅣ型股骨头骨折可获得充分的显露,并为股骨头的复位、固定提供极大方便,损伤相对较小,对股骨头血运影响小,效果良好。

Posterior Approach Combined with Trochanteric Flip Osteotomy for theFixation of Pipkin Type IV Femoral Head Fractures

Objective:To evaluate the clinical results of posterior approach combined with trochanteric flip osteotomy for themanagement of Pipkin type IV femoral head fractures.Methods:We retrospectively reviewed 8 patients with Pipkin type IV femoral headfractures from March 2006 to October 2012, including 5 male and 3 female patients. Posterior approach combined with trochanteric fliposteotomy was performed for surgical open reduction and internal fixation of the fractures.Results:All of the patients were followed upfor 18 to 58 months (mean 36 months). According to the Thompson-Epstein evaluation criteria, 3 cases achieved excellent results, 3 casesachieved good results and 2 cases achieved fair results.Conclusion:Posterior approach combined with trochanteric flip osteotomyprovides good exposure, facilitates the reduction and fixation for Pipkin type IV femoral head fractures, and brings less damage to theblood supply of the femoral head. The outcome is good.