【摘要】 目的 评价应用带旋股外动脉升支髂骨瓣移位及加压螺钉内固定治疗青壮年股骨颈骨折的临床效果。方法 对15例青壮年外伤性股骨颈骨折行切开复位，经粗隆下行2枚加压螺钉固定股骨头颈部，切取带旋股外动脉升支髂骨瓣3cm×4cm，移位至备好的头颈骨槽内。结果 术后15例均获得8个月～4年的随访，骨折均在1年内愈合。无骨不连、股骨头缺血性坏死等并发症的发生。髋关节活动良好，但有1例出现创伤性关节炎。结论 采用带旋股外动脉升支髂骨瓣移位及加压螺钉内固定治疗青壮年股骨颈骨折，可提高骨折的愈合率，减少股骨头缺血性坏死等并发症发生。

    关键词 股骨颈骨折 带血管蒂髂骨瓣 青壮年 移位 骨折内固定

    Shift of pedicled iliac bone with ascending branch of lateral femoral circumflex artery in treatment of femoral neck f

    ractures in young adults

    Li Jianwei，Li Zhidan

    Department of Orthopaedics，Zhanjiang Central Hospital Affiliate to Guangdong Medical College，Zhanjiang524037.

    【Abstract】 Objective To evaluate clinical effects of combination of the shift of pedicled iliac bone with asˉcending branch of lateral femoral circumflex artery and compression-secrew internal fixation in treatment of femoral neck fractures in young adults.Methods 15cases of femoral neck fractures in young adults recieved incision reposiˉtion with fixation of femoral neck by2pressurize screw trans subcoarse and shift of pedicled iliac bone with ascending branch of lateral femoral circumflex artery(3cm×4cm)to prepared between femoral head and neck.Results All of15cases were followed up for8monthes-four years after operation and healed in one year without complications such as bone disconnection and femur head ischemic necrosis.The hip joint activity is good ......