Clinical Analysis of the Treatment of Femoral Head Necrosis after Femoral Neck Fracture with Marrow Decompression Combined with Vacuum Sealing Drainage
To explore the therapeutic efficacy of the combination of medullary core decompression and vaccum sealing drainage in the management of osteonecrosis of the femoral head secondary to femoral neck fracture,through analyzed a total of 60 patients with postoperative osteonecrosis of femoral neck fracture who were hospitalized in the Department of Orthopedics at Handan Central Hospital from October 2015 to October 2020.The patients were divided into two groups:the core decompression group(control group,group A)and the core decompression combined with vacuum sealing drainage group(observation group,group B).The low-density volume changes of the femoral head on magnetic resonance imaging(MRI)and the hip Harris scores were observed before and after surgery,as well as at 3 months,6 months,and the last follow-up in both groups.Results show that the low-density volume of the femoral head on MRI in group B demonstrates a statistically significant decrease compared to group A at 6 months post-surgery.In addition,patients in group B exhibits significantly improved hip Harris scores at 3 months,6 months,and the last follow-up after surgery,in comparison to those in group A.It is demonstrated that core decompression combined with vacuum sealing drainage is reported to exhibit potential in promoting the healing process of femoral head necrosis subsequent to surgery for femoral neck fractures,ultimately leading to improvements in hip joint function.
pulp core decompressionnegative pressure aspirationfemoral neck fracturenecrosis of the femoral head
万方数据
维普
