老年新鲜无移位型股骨颈骨折治疗的临床研究  

作　　者：王树相 邱菊[1] 

机构地区：[1]山东省淄博市中心医院骨科,255036

出　　处：《中国实用医药》2010年第29期35-36,共2页China Practical Medicine

摘　　要：目的观察利用AO中空加压螺钉内固定治疗和传统牵引治疗老年新鲜无移位型股骨颈骨折治疗的临床疗效。方法我科自2006年3月至2009年5月共收治新鲜无移位型股骨颈骨折患者47例,将其随机分为观察组和对照组:观察组24例,行早期AO中空加压螺钉内固定术治疗;对照组23例,行托马氏架牵引治疗,术后随访12～48个月,观察临床疗效。结果观察组治愈20例,有效3例,1例无效,总有效率为95.8%;对照组治愈12例,有效5例,无效6例,总有效率为73.9%。两组对比有显著性差异(P<0.05)。结论对于老年新鲜无移位型股骨颈骨折,采用AO中空加压螺钉内固定治疗较传统牵引治疗,具有更好的临床疗效,值得推广应用。Objective To observe the clinical effects of AO cannulated screw fixation and traditional hauling for treatment of fresh femoral neck fracture in old patients.Methods 47 cases came to our department between March 2006 and May 2009 were devided into two groups randomly of which 24 cases（observation group）were underwent AO cannulated screw fixation,23 cases（control group）Thomas＇s frame traction therapy,all of the cases were followed up for 12-48 months,observe the clinical effect.Results In observation group 20 cases were cured,3 cases effective,1case uneffective,the total effectiveness is 95.8%and in control group 12 cases were cured,5 cases effective,6 cases uneffective,the total effectiveness is 73.9%.There was a significant difference between the two groups（P0.05）.Conclusion The usage of AO cannulated screw fixation had better clinical effect for treatment of fresh femoral neck fracture in old patients.so it is worth to promote.

关 键 词：中空加压螺钉 股骨颈骨折 老年患者 内固定治疗 

分 类 号：R687.3[医药卫生—骨科学]