[Repair of femoral neck fracture with vascular pedicled periosteum flap transfer in young and middle-aged].
OBJECTIVE
To estimate clinical effect of spin iliac deep vascular pedicled periosteum flap in repairing traumatic femoral neck of theca inside fracture in young and middle-aged.


METHODS
From April 1993 to September 2001, 12 cases of traumatic femoral neck fracture were given diaplastic operation with fixation of 3 centre hollow pressed bolt and were conducted under os traction bed and "C" arm X-ray machine. Spin iliac deep vascular pedicled periosteum flap was stripped off, and transferred to the front of femoral neck fundus, then transplanted to the narrow inside of fracture through outer open door of articular capsule.


RESULTS
All patients were followed up for 1-7 years. All fracture healed without femoral head necrosis, but mild arthritis appeared in 7 cases.


CONCLUSIONS
Vascular pedicled periosteum flap transfer of young and middle-aged femoral neck fracture, by decompression of femoral neck and reconstruction of blood circulation, can promote the fracture healing and decrease the wound and blood circulation destroy.
Li
Long-hui
LH
Department of Orthopaedic Surgery, First Hospital of Zibo, Zibo, Shandong, P. R. China 255200.
Chen
Xin-liang
XL
Han
Guo-hua
GH
D000328:Adult; D005260:Female; D005265:Femoral Neck Fractures / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing; D006801:Humans; D007085:Ilium / Q000098:blood supply / Q000637:transplantation; D008297:Male; D008875:Middle Aged; D010521:Periosteum / Q000098:blood supply / Q000637:transplantation*; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods; D013524:Surgical Flaps / Q000098:blood supply