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目的探讨空心加压螺钉内固定配合带缝匠肌的髂骨瓣移植治疗股骨颈骨折的治疗效果。方法对12例股骨颈骨折患者采用空心加压螺钉内固定，并在骨折断端用带缝匠肌的髂骨瓣植骨固定。结果随访14～36月,12例中11例达骨性愈合，1例术后7月出现股骨头坏死行髋关节置换。平均愈合时间8个月,平均取钉时间13个月。根据功能恢复情况分为优、良、差,进行疗效评定：优8例,良3例,差1例。优良率达91.6%。结论空心加压螺钉内固定加带缝匠肌的髂骨瓣移植治疗股骨颈骨折,具有固定牢靠、愈合率高等优点。“,” Objective]To discuss the curative effect of using the Compression Screw Immobil zation and the sartorial-pedicled il um bone graft in treating the fracture of neck of femur.[Method] A total of 12 cases of the fracture of neck of femur treated with the Compression Screw Immobilization and the sartorial-pedicled ilium bone graft were fol owed up for 14~36 months. The position of fracture or the area of bony defect was fil ed with the sartorial-pedicled ilium bone.[Result]The clinical results were assessed according to the functional rehabilitation.So,there were excel ent results of 8 hips,good of 3 hips and poor of 1 hips in this study and the satisfactory rate was 91.6%.There were 12 cases reached osteal healing.The average healing time was 8 months and the average time of taken out was 13 months.[Conclusion]In treating the fracture of neck of femur,the Compression Screw Immobilization and the sartorial-pedicled ilium bone graft have the advantage of firm fixation and highly healing rate.