三刃钉和空心螺丝钉治疗股骨颈骨折的比较  

Analogy of triflanged nail and cannulaed screws in the treatment of femoral neck fracture

作　　者：程光齐[1] 张钟元[1] 刘中远[1] 

机构地区：[1]上海第二医科大学附属仁济医院骨科,200001

出　　处：《上海医学》2000年第3期175-177,共3页Shanghai Medical Journal

摘　　要：目的　通过对三刃钉和空心螺丝钉内固定治疗股骨颈骨折的状况及疗效分析 ,比较这两种方法的优缺点。方法　 2 64例骨折病人 ,采用手法复位 ,三刃钉内固定或空心螺丝钉内固定治疗 ,分别通过 3个月和 3年随访 ,分析病人髋关节功能恢复状况、股骨颈骨折愈合情况及股骨头缺血性坏死发生率。结果　术后 3个月随访 ,空心螺丝钉组髋关节功能恢复优良率明显高于三刃钉内固定组。而术后 3年随访 ,两种方法的髋关节功能恢复优良率和股骨头缺血性坏死发生率差异无差异性。结论　三刃钉和空心螺丝钉内固定两种方法均有操作简单、损伤小等优点。但空心螺丝钉内固定更符合力学原理 。Objective Through the results of triflanged nail and cannulated screws in treatment of femoral neck fracture to compare the advantages and disadvantages of the two methods of internal fixation. Methods In 264 hospitalized patients of femoral neck fractures from 1982～1997, closed reduction and internal fixation with triflanged nail or cannulated screws were adopted. At 3 months and 3 years follow up the recovery of hip joint function, heating of fracture and frequency of aspetic necrosis of the femonal head were analyzed.Results Follow up at 3 months postoperatively showed excellent recovery of hip joint of function of cannulated screw group which was significantly superior to that of triflanged nail group. However, at 3 year follow up, no significant difference between the two methods was seen. Conclusion Both methods of internal fixation are and simple satisfactory with minor trauma. however, the method of with multiple cannulated screws in more rational and concordant with the mechanic principle. The healing of fracture is also more repid. (Shanghai Med J, 2000,23∶175 177)

关 键 词：三刃钉 空心螺钉 股骨颈骨折 骨折固定术 

分 类 号：R681.8[医药卫生—骨科学]