FNS固定与CCS固定治疗中青年股骨颈骨折疗效对比  

Comparison of Clinical Efficacy between FNS Fixation and CCS Fixation in Young and Middle⁃aged Patients with Femoral Neck Fractures

作　　者：罗天放 王明 郑耀鹏 LUO Tianfang;WANG Ming;ZHENG Yaopeng(Department of Orthopedics,Hopeshine Minsheng Hospital of Xinzheng,Xinzheng,Henan 451100,China)

机构地区：[1]新郑华信民生医院骨科,河南新郑451100

出　　处：《中国烧伤创疡杂志》2024年第1期44-48,共5页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：目的对比分析股骨颈动力交叉钉系统(FNS)固定与空心加压螺钉(CCS)固定治疗中青年股骨颈骨折的临床疗效。方法选取2019年4月至2021年4月新郑华信民生医院收治的140例中青年股骨颈骨折患者作为研究对象,按照不同治疗方法将其分为FNS组(67例)和CCS组(73例),FNS组患者行FNS固定治疗,CCS组患者行CCS固定治疗,对比观察两组患者术中出血量、术中透视次数、手术时间、住院时间、术后完全负重开始时间等手术相关情况与骨折愈合情况,以及疼痛程度、股骨颈短缩长度、日常生活能力、髋关节功能与不良事件发生情况。结果FNS组患者术中出血量和住院时间与CCS组无明显差异(t=1379、0411,P=0170、0682),术中透视次数明显少于CCS组(t=12682,P<0001),手术时间、术后完全负重开始时间及骨折愈合时间均明显短于CCS组(t=8789、8418、8177,P均<0001);术后6个月,FNS组患者视觉模拟评分法(VAS)评分明显低于CCS组(t=6835,P<0001),股骨颈短缩长度明显短于CCS组(t=10252,P<0001),Barthel指数评分与Harris评分均明显高于CCS组(t=8158、11051,P均<0001)。FNS组患者术后不良事件发生率为896%,明显低于CCS组患者的术后不良事件发生率2466%(χ^(2)=6064,P=0014)。结论与CCS固定相比,FNS固定更能明显减少中青年股骨颈骨折患者术中透视次数,缩短手术时间、术后完全负重开始时间和骨折愈合时间,减轻患者疼痛及股骨颈短缩程度,促进髋关节功能恢复,提高患者日常生活能力,降低术后不良事件发生风险,临床应用价值更高。Objective To compare the clinical efficacy of femoral neck system(FNS)fixation and cannulated compression screw(CCS)fixation in young and middle-aged patients with femoral neck fractures.Methods 140 young and middle-aged patients with femoral neck fractures,admitted to Hopeshine Minsheng Hospital of Xinzheng from April 2019 to April 2021,were enrolled into the study and divided into FNS group(n=67),receiving FNS fixation,and CCS group(n=73),receiving CCS fixation,and the following items were compared between the two groups,including surgery-related indi-cators,i e,intraoperative blood loss volume,times of intraoperative fluoroscopy,operation time,length of stay,postoper-ative full weight-bearing start time,as well as fracture healing condition,pain intensity,shortened length of femoral neck,activities of daily living,hip joint function,and occurrences of postoperative adverse events.Results There were no signifi-cant differences between the FNS group and the CCS group in terms of intraoperative blood loss volume and length of stay(t=1379 and 0411,P=0170 and 0682)The times of intraoperative fluoroscopy in the FNS group were significantly less than that in the CCS group(t=12682,P<0001),and the operation time and fracture healing time were significantly shorter(t=8789 and 8418,both P<0001),and the postoperative full weight-bearing start time was notably earlier(t=8177,P<0001)in the FNS group.Six months after surgery,the visual analogue scale(VAS)scores were significantly lower(t=6835,P<0001),and the shortened length of femoral neck was significantly less(t=10252,P<0001)in the FNS group compared with the CCS group.Additionally,both Barthel index scores and Harris scores were significantly higher in the FNS group(t=8158 and 11051,both P<0001).The incidence of postoperative adverse events was 896%in the FNS group,being significantly lower than 2466%in the CCS group(χ^(2)=6064,P=0014).Conclusion Compared with CCS fixation,FNS fixation,in the treatment of femoral neck fracture in young and middle-aged patients,is superi

关 键 词：股骨颈动力交叉钉系统 空心加压螺钉 中青年 股骨颈骨折 髋关节功能 日常生活能力 

分 类 号：R687.3[医药卫生—骨科学]