青岛大学学报(医学版)2024,Vol.60Issue(1) :77-80.DOI:10.11712/jms.2096-5532.2024.60.011

股骨颈骨折两种内固定治疗方法效果比较

Comparison of clinical efficacy of two internal fixation treatment methods for femoral neck fractures

崔东明 刘琪 赵金柱 曲良 姜宏涛 陶春生
青岛大学学报(医学版)2024,Vol.60Issue(1) :77-80.DOI:10.11712/jms.2096-5532.2024.60.011

股骨颈骨折两种内固定治疗方法效果比较

Comparison of clinical efficacy of two internal fixation treatment methods for femoral neck fractures

崔东明 1刘琪 2赵金柱 2曲良 2姜宏涛 3陶春生2
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作者信息

  • 1. 青岛大学医学部,山东青岛 266073;中国人民解放军海军第971医院骨科一病区(青岛市重症骨伤救治中心重点学科)
  • 2. 中国人民解放军海军第971医院骨科一病区(青岛市重症骨伤救治中心重点学科)
  • 3. 中国人民解放军海军第971医院信息科
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摘要

目的 比较股骨颈动力交叉钉系统(FNS)和倒三角空心钉(ICCS)两种不同方式治疗股骨颈骨折的临床效果.方法 回顾性分析92例股骨颈骨折病人临床资料,应用FNS治疗46例,ICCS治疗46例.比较两组病人骨折类型、手术时间、术中出血量、术后住院时间、骨折复位质量;术后随访10~15个月(平均11.3个月),比较两组病人骨折愈合时间、并发症及末次随访髋关节Harris评分.结果 两组病人性别、骨折类型比较差异均无统计学意义(P>0.05);两组病人术中出血量、骨折复位质量、住院时间差异均无统计学意义(P>0.05).与ICCS组比较,FNS组手术时间短(t=-5.661,P<0.05),术后骨折愈合时间短(Z=-4.339,P<0.05),术后并发症发生率低(Z=5.361,P<0.05),术后髋关节Harris评分高(Z=-2.510,P<0.05).结论 股骨颈骨折内固定采用FNS临床效果优于采用ICCS.

Abstract

Objective To compare the clinical efficacy of the femoral neck system(FNS)and inverted cannulated cancellous screws(ICCS)in the treatment of femoral neck fractures.Methods The clinical data of 92 patients with femoral neck fractures were retrospectively studied;46 patients were treated with FNS,and 46 patients were treated with ICCS.The fracture type,opera-tion time,intraoperative bleeding,postoperative hospital stay,and quality of fracture reduction were compared between the two groups;postoperative follow-up was 10-15 months(mean of 11.3 months),and the fracture healing time,complications,and Harris hip scores at the last follow-up were compared between the two groups.Results There was no significant difference be-tween the two groups in terms of gender,fracture type,intraoperative bleeding,quality of fracture reduction,and hospital stay(P>0.05).Compared with the ICCS group,the FNS group had shorter operation time(t=-5.661,P<0.05),shorter postopera-tive fracture healing time(Z=-4.339,P<0.05),lower postoperative complication rate(Z=5.361,P<0.05),and higher posto-perative Harris Hip Score(Z=-2.510,P<0.05).Conclusion Internal fixation of femoral neck fractures is clinically more ef-fective with FNS than with ICCS.

关键词

股骨颈骨折/骨折固定术,内/最小侵入性外科手术/预后

Key words

femoral neck fractures/fracture fixation,internal/surgical procedures,minimally invasive/prognosis

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基金项目

山东省医药卫生科技发展计划(2020090404-56)

出版年

2024
青岛大学学报(医学版)
青岛大学医学院

青岛大学学报(医学版)

CSTPCD
影响因子:0.8
ISSN:1672-4488
参考文献量21
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