Clinical effect of femoral neck system for the treatment of femoral neck fractures
Objective To explore the clinical effect of the femoral neck system for the treatment of femoral neck fractures.Methods A total of 60 patients with femoral neck fractures admitted to the Department of Orthopedics of Xiamen Fifth Hospital from August 2020 to July 2022 were selected as the study subjects.They were divided into a control group and an observation group by the random number table method,with 30 cases in each group.The control group received 3 hollow screws for internal fixation,while the observation group was fixed with the femoral neck system.The reduction quality and joint function of the two groups were compared.Results The observation group had significantly lower intraoperative fluoroscopy frequency(11.60±2.04)compared to the control group(20.45±3.70),less intraoperative bleeding volume(12.25±2.26)ml compared to the control group(18.79±3.69)ml,shorter surgical time(48.02±4.13)minutes compared to the control group(67.14±4.86)minutes,shorter initial weight-bearing time(11.23±2.08)weeks compared to the control group(15.37±2.46)weeks,and shorter fracture healing time(4.01±0.24)months compared to the control group(4.89±0.31)months(P<0.05).The proportion of type Ⅰ reduction quality in the observation group was higher than that in the control group.The proportion of type Ⅱ,Ⅲ and Ⅳ reduction quality was lower than that in the control group(P<0.05).After 6 months of surgery,the score of the hip joint function between the observation group(72.40±4.85)points and the control group(70.82±5.13)points was compared,without significant difference(P>0.05).Conclusion The femoral neck system fixation technique for femoral neck fractures has less trauma,fewer intraoperative fluoroscopy times,and shorter surgical time,first weight-bearing time,and healing time,which can improve the reduction quality and has no impact on hip joint function,making it the preferred fixation scheme.
Femoral neck systemFemoral neck fractureReduction qualityJoint function
万方数据
维普
