闭合复位与开放复位治疗老年股骨颈骨折的对比研究  

The comparative study of closed reduction compared with open reduction for femoral neck fractures

作　　者：鲁保华[1] 

机构地区：[1]沈阳市骨科医院骨盆髋臼科,辽宁沈阳110044

出　　处：《中国医药科学》2015年第4期196-197,202,共3页China Medicine And Pharmacy

摘　　要：目的探讨闭合复位与开放复位治疗老年股骨颈骨折的临床效果。方法选择患者80例,分为两组,各40例,观察组进行闭合复位内固定治疗,对照组进行开放复位内固定治疗,比较两组手术时间、术中出血及术后下床活动时间,并统计治疗后发生并发症。结果观察组手术时间短于对照组(P<0.05),术中出血少于对照组(P<0.05),观察组发生股骨头缺血性坏死、骨不连或骨折不愈以及治疗后出现髋内翻的比例显著低于对照组(P<0.05)。结论对于移位不明显老年股骨颈骨折患者,实施闭合复位内固定,效果显著,康复快。对于骨折后出现明显移位者,无法进行手法复位,则以实施切开复位内固定为首选。Objective To investigate the comparative study of closed reduction compared with open reduction for femoral neck fractures. Methods 80 cases were divided into two groups, each 40 cases,the observation group were used closed reduction and internal fixation,the control group were used open reduction,then operative time,blood loss and postoperative ambulation time were compared,and complications after treatment were statisticed. Results The hip surgery appear with observation group was shorter than control group（P〈0.05）,blood loss was less than control group（P〈0.05）,the observation group occurred avascular necrosis or nonunion fracture healing and treatment varus rate were lower than control group（P〈0.05）. Conclusion Displaced femoral neck fractures in elderly patients with the presence with light displace,we suggest that use closed reduction to internal fixation.

关 键 词：闭合复位 开放复位 老年 股骨颈骨折 

分 类 号：R683.41[医药卫生—骨科学]