Objective:To analyze the effects of femoral neck system (FNS) on blood indexes,hip function and imaging e-valuation in patients with femoral neck fracture(FNF).Methods:Thirty-one patients with FNF who received FNS internal fixa-tion in Zhongshan Fifth People 's Hospital,Zhongshan City from June 2019 to June 2022 were included in the FNS group,and 40 patients with FNF who received hollow compression screw (CS) internal fixation during the same period were included in the CS group.Clinical data were retrospectively collected and followed up for 6 months.The two groups of perioperative indexes,hip function and mobility before operation,1 year after operation,imaging evaluation results and the occurrence of complications 1 year after operation,and blood indexes before operation and 1 week after operation were compared.Results:Compared with the CS group,the FNS group had longer incision length,more intraoperative blood loss,fewer intraoperative fluoroscopy times,shorter operative time,and lower cervical trunk Angle loss and femoral neck length loss ( P<0.05).One year after operation,hip extension-flexion motion,internal rotation-external motion and Harris score were increased in both groups (P<0.05),but there was no statistical significance between the two groups (P>0.05).One year after operation,the incidence of adverse images in the CS group was higher (P<0.05).The incidence of related complications in CS group was higher than that in FNS group (P<0.05).Compared with the before operation,the total hemoglobin cell volume and hemoglobin level of the two groups decreased 1 week after operation,and the CS group was higher(P<0.05).There was no significant difference in platelet count between the two groups (P>0.05).Conclusion:FNS could improve hip joint function and mobility similar to CS in the treatment of FNF,with higher intraoperative injury,which could affect blood indexes,however,FNS had short operation time and fewer fluoroscopy times,could reduce the loss of cervical stem Angle and femoral neck length,and reduce the risk of adverse imaging findings,had high security.
维普
万方数据
