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Zha Q.-L.,Chuzhou Hospital of Traditional Chinese Medicine | Zhang H.-C.,Chuzhou Hospital of Traditional Chinese Medicine | Lu C.-Y.,Chuzhou Hospital of Traditional Chinese Medicine | Zhu Y.-K.,Chuzhou Hospital of Traditional Chinese Medicine
Chinese Journal of Tissue Engineering Research | Year: 2014

BACKGROUND: There is no unified treatment standard for femoral neck fracture in the clinic. Quadratus femoris muscle pedicle bone flap transplantation combined with hollow compression screw fixation and AO hollow compression screw fixation are common methods for treatment of femoral neck fracture, but both of them have their advantages and disadvantages. OBJECTIVE: To investigate the effects and complication rates of quadratus femoris muscle pedicle bone flap transplantation combined with hollow compression screw fixation and AO hollow compression screw fixation in young and middle-aged patients with Garden III and IV types of femoral neck fracture. METHODS: A total of 60 young and middle-aged patients with femoral neck fracture were divided into observation group and control group according to the different treatment methods. The observation group was treated with quadratus femoris muscle pedicle bone flap transplantation combined with hollow compression screw fixation. The control group was treated with AO hollow compression screw fixation. Fracture healing time, healing rate, excellent and good rate, the rate of avascular necrosis and late collapse rate were compared between the two groups. RESULTS AND CONCLUSION: (1) The fracture healing time of the observation group was less than that of the control group. The healing rate and the excellent and good rate were significantly higher in the observation group than those in the control group (P < 0.05). (2) Fracture healing time in patients of the observation group was less than that of the control group, but the healing rate and the excellent and good rate of fracture was significantly higher than those in the control group (P < 0.05). These data suggested that the quadratus femoris muscle pedicle bone flap transplantation combined with hollow compression screw fixation have good effects in the treatment of Garden III and IV types of femoral neck fracture in the young and middle-aged patients. © 2014, Journal of Clinical Rehabilitative Tissue Engineering Research. All rights reserved. Source

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