首页|股骨颈动力交叉钉系统内固定治疗中青年股骨颈骨折的疗效

股骨颈动力交叉钉系统内固定治疗中青年股骨颈骨折的疗效

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目的 观察股骨颈动力交叉钉系统(FNS)内固定治疗中青年股骨颈骨折的临床疗效.方法 选取于我院就诊的44例中青年股骨颈骨折患者,按治疗方法分为对照组(n=22)和观察组(n=22).对照组患者实施传统3枚空心加压螺钉(CCS)内固定;观察组患者实施FNS内固定.记录并比较2组患者围术期相关指标及术后疼痛视觉模拟量表(VAS)评分、骨折愈合时间、术后髋关节Harris评分、并发症发生情况.结果 2组患者术后均未发生并发症.2组患者的术中出血量差异无统计学意义(P>0.05);与对照组相比,观察组患者的手术时间、术中透视次数、部分负重时间均显著较短/少(P<0.05).2组患者术后VAS评分比较,差异无统计学意义(P>0.05).与对照组相比,观察组患者的骨折愈合时间更短(P<0.05),术后6个月、9个月的髋关节Harris评分更高(P<0.05).结论 FNS内固定治疗中青年股骨颈骨折的疗效确切,且操作简单、创伤小、恢复快、并发症少、生物力学性能高.
Curative effect of femoral neck system for femoral neck fractures in young and middle-aged adults
Objective To observe the clinical effect of femoral neck system(FNS)in the treatment of young and middle-aged adults with femoral neck fractures.Methods A total of 44 young and middle-aged patients with femoral neck fractures who received treatment in our hospital were selected,and divided into the control group(n=22)and the observation group(n=22)according to treatment method.The patients in the control group were fixed with traditional three cannulated compression screws(CCS).The patients in the observation group were fixed with FNS.Perioperative indexes,postoperative visual analogue scale(VAS)score,fracture healing time,postoperative Harris hip score and incidence of complications of patients were recorded and compared between the two groups.Results No postoperative complications occurred in both groups.There was no statistically significant difference in intraoperative blood loss of patients between the two groups(P>0.05).Compared with the control group,the observation group showed a significant reduction in surgical time,intraoperative fluoroscopy frequency,and partial weight bearing time(P<0.05).There was no statistically significant difference in VAS score after surgery of patients between the two groups(P>0.05).Compared with the control group,the fracture healing time of patients in the observation group was significantly shorter(P<0.05),the Harris hip scores 6 and 9 months after surgery of patients were significantly higher(P<0.05).Conclusion The treatment of FNS for young and middle-aged adults with femoral neck fractures has a definitely curative effect,with simple operation,minimal trauma,fast recovery,fewer complications,and high biomechanical performance.

femoral neck systemfemoral neck fracturecurative effectyoung and middle-aged adults

李平、董乃健、曾炜

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宁德师范学院附属宁德市医院创伤一科,福建 宁德 352100

宁德师范学院附属宁德市医院关节外科,福建 宁德 352100

股骨颈动力交叉钉系统 股骨颈骨折 疗效 青中年

2024

局解手术学杂志
重庆市解剖学会,第三军医大学

局解手术学杂志

CSTPCD
影响因子:1.063
ISSN:1672-5042
年,卷(期):2024.33(8)
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