两种固定方法治疗股骨颈骨折的疗效比较  

Efficacy comparison of two kinds of fixation methods for treatment of femoral neck fractures

作　　者：张红新[1] 张羽[1] 古雪建 白晓亮[1] ZHANG Hong-xin;ZHANG Yu;GU Xue-jian;BAI Xiao-liang(SectionⅤ,Dept of Orthopaedics,the First Central Hospital of Baoding City,Baoding,Hebei 071000,China)

机构地区：[1]保定市第一中心医院骨五科,河北保定071000

出　　处：《临床骨科杂志》2023年第3期383-386,共4页Journal of Clinical Orthopaedics

摘　　要：目的比较股骨颈动力交叉钉系统(FNS)和空心螺钉固定治疗股骨颈骨折的疗效。方法将30例股骨颈骨折患者根据随机数字表法分为FNS组和空心螺钉组,各15例。记录两组手术时间、术中透视次数、骨折愈合时间及并发症发生情况,根据髋关节Harris评分评估疗效。结果患者均获得随访,时间12~48个月。手术时间、术中透视次数FNS组短(少)于空心螺钉组(P<0.05)。骨折愈合时间、股骨颈短缩和股骨头坏死发生率、末次随访时髋关节Harris评分两组比较差异均无统计学意义(P>0.05)。结论与空心螺钉固定相比,FNS固定治疗股骨颈骨折具有手术时间短、术中透视次数少的优点。Objective To compare the effect of dynamic crossing femoral neck system(FNS)and cannulated screw fixation in the treatment of femoral neck fracture.Methods Thirty patients with femoral neck fractures were randomly divided into FNS group and cannulated screw group,with 15 cases in each group.The operation time,intraoperative fluoroscopy times,fracture healing time and complications were recorded.The efficacy was evaluated according to the Harris score of hip joint.Results All patients were followed up for 12~48 months.Operative time,intraoperative fluoroscopy times of the FNS group were shorter(less)than those of the cannulated screw group(P<0.05).There were no significant differences in fracture healing time,the incidence rate of femoral neck shortening and femoral head necrosis,and Harris scores of the hips of the last follow-up between the two groups(P>0.05).Conclusions Compared with cannulated screw fixation,FNS fixation has the advantages of shorter operation time and fewer intraoperative fluoroscopy times for femoral neck fractures.

关 键 词：空心螺钉 骨折内固定 股骨颈骨折 闭合复位 

分 类 号：R683.42[医药卫生—骨科学] R687.32[医药卫生—外科学]