股骨颈系统与空心加压螺钉固定60岁以下患者股骨颈骨折的临床效果对比  

Clinical results of femoral neck system and hollow compression screw fixation of femoral neck fracture in middle age patients

作　　者：姜志圣 李振杰 张凯凯 JIANG Zhisheng;LI Zhenjie;ZHANG Kaikai(Department of Orthopedics,Puyang Hospital of Traditional Chinese Medicine,Puyang 457003,China)

机构地区：[1]濮阳市中医医院骨二科,濮阳457003

出　　处：《广州医药》2022年第4期60-64,共5页Guangzhou Medical Journal

摘　　要：目的探究空心加压螺钉(CCS)和股骨颈系统(FNS)两种不同的内固定方法治疗60岁以下患者股骨颈骨折的疗效。方法回顾性研究2018年1月—2019年9月期间在我院接受内固定手术治疗的100例股骨颈骨折患者,根据内固定方式不同,分为FNS组(观察组)和CCS组(对照组),比较2组患者的术后并发症、围手术期特征;并在手术前和手术后1年使用Harris髋关节评分(HHS)评估关节功能。结果2组患者中,观察组的手术时间和围手术期出血量均大于对照组(P<0.05);术后观察组的骨愈合时间低于对照组,且观察组股骨颈短缩程度也低于对照组(P<0.05);观察组螺钉切除发生率以及术后并发症总发生率均低于对照组(P<0.05)。结论年龄小于60岁的股骨颈骨折患者通过CCS或FNS治疗可以获得满意的临床效果。FNS具有优异的生物力学性能,并显示出更高的整体结构稳定性。Objective To explore the curative effect of two different internal fixation methods,cannulated compression screw(CCS)and femoral neck system(FNS),in the treatment of femoral neck fractures in patients under 60 years old.Methods Retrospectively studied 100 patients with femoral neck fractures who underwent internal fixation surgery in our hospital from January 2018 to September 2019.According to different internal fixation methods,they were divided into FNS group(observation group)and CCS group(control group).The postoperative complications and perioperative characteristics of the two groups of patients were compared,and the Harris Hip Score(HHS)was used to assess joint function before and 1 year after the operation.Results In the two groups of patients,the operation time and perioperative blood loss of the observation group were more than those of the control group(P<0.05);the bone healing time of the observation group was shorter than that of the control group,and the degree of femoral neck shortening in the observation group was also lower than the control group(P<0.05);the incidence of screw resection and the total incidence of postoperative complications in the observation group were lower than those in the control group(P<0.05).Conclusions Patients with femoral neck fractures under 60 years old could obtain satisfactory clinical results through CCS or FNS treatment.FNS had excellent biomechanical properties and showed significantly higher overall structural stability.

关 键 词：股骨颈系统 空心螺钉 股骨颈骨折 Harris髋关节评分 手术固定装置 

分 类 号：R687.3[医药卫生—骨科学]