objective to explore the Herbert hol ow nail percutaneous surgery application value. Methods according to the dif erent methods of surgery were divided into two groups, observation group with Herbert hol ow nail percutaneous, compared two groups of postoperative pain, fracture healing, wrist joint function recovery and complications. Results the observation group was significantly lighter than the control group, postoperative pain degree of fracture healing time was significantly less than the control group, the percentage of osseous healing during fol ow-up is significantly higher than that of control group (P<0.05). Conclusion Herbert hol ow nail percutaneous is a good method for treatment, worth clinical promotion.

Obiective To investigation the clinical ef ect of quadratus femoris muscle pedicle bone graft combined with hol ow compression screws fixation in the treatment of femoral neck fracture. Methods From 2010.01~2012.12, 21 cases of femoral neck fracture in young adults were treated in our hospital, Lateral incision of the hip joint, After open reduction with hol ow compression screws and combined with quadratus femoris muscle pedicle bone graft. Results Al patients were fol ow-up from 3~36 months.(average 15.9 months).Al patients with fracture were healed.According to the Harris scores system:12 cases were excellent,6 cases were good, 2 cases were fine 1 case was bad, The rate of excellent and good was 85.7%. Conclusion The treantment of femoral neck fracture by quadratus femoris muscle pedicle bone graft combined with hol ow compression screws can prevent nonunion Ef ectively. This technical can be widely applied in clinical practice.

目的 探讨在无法开展关节镜条件下对膝关节前交叉韧带止点新脱骨折的手术方法.方法 通过对26例膝关节前交叉韧带止点撕脱骨折采用空心加压螺钉加齿状垫片固定.结果 随访1～2年,采用Lysholm膝关节评分:优21例,良3例,可2例,优良率92.3％.结论 对此类骨折患者采取髌旁内侧小切口,空心加压螺钉加齿状垫片固定可避免出现膝关节不稳、伸直受限等并发症,获得早期活动,疗效良好.

带锁髓内钉是国际上十余年来骨折固定技术的三大进展之一.带锁髓内钉及其手术设备,虽然在技术和操作方面要求较高,但其具有切口小、组织损伤小、弹性固定,能早期活动,并发症少等优点,应用越来越普遍.我院自1999年5月开展带锁髓内钉治疗股骨干粉碎性骨折23例,并对其进行随访,收到满意的治疗效果,现报告如下.

我院自1999年7月～2001年3月收治股骨颈骨折32例,采用透视下闭合复位经皮7.3mm空心加压螺纹钉治疗,经随访疗效满意.现报告如下.