Clinical Study of Early Joint Decompression and Autologous Red Bone Marrow Transplantation in the Treatment of Femoral Neck Fracture in Young Adults

Abstract：Objective To investigate the clinical study of early joint decompression and autologous red bone marrow transplantation in the treatment of femoral neck fracture in young adults. Methods Seventy young adults with femoral neck fracture from June 2013 to January 2014 in our hospital were selected and divided into two groups with 35 cases of each group. Patients in control group were treated with Mc Elvenny traction closed reduction and internal fixation with hollow compression screws. The observation group patients were treated with Mc Elvenny traction closed reduction and internal fixation with hollow compression screw,combined with multiple point puncture decompression and autologous red bone marrow transplantation. After follow-upof 12 ~ 36 months,fracture healing and necrosis of the femoral head wereassessed,parallel Harris hip score were de-tected every 3 months. Results There was no fracture nonunion cases in the observation group,the fracture nonunion rate of the control group was 11. 43%(P < 0. 05). The rate of femoral head necrosis of the observation group and the control group was 2. 86% and 17. 14% respectively(P < 0. 05). The Harris score of the observation group(88. 6 ± 9. 8)was higher than the control group(83. 1 ± 8. 7)(P < 0. 05). Conclusion Mc Elvenny traction closed reduction and internal fixation with hollow compression screw,combined with multiple point puncture decompression and autologous red bone marrow transplantation can reduce the rate of femoral neck fracture nonunion and ischemic necrosis of femoral head,and improve hip function in patients. Itis worthy of popularization and application.