股骨颈动力交叉钉系统与空心加压螺钉内固定治疗股骨颈骨折的疗效比较  

Comparison effect of femoral neck system and cannulated compression screw fixation for treatment of femoral neck fracture

作　　者：隋聪[1] 张盛庭 郭澳 刘德宝[1] SUI Cong;ZHANG Sheng-ting;GUO Ao;LIU De-bao(Dept of Traumatic Orthopaedics,the First Affiliated of Anhui Medical University,Hefei,Anhui 230022,China)

机构地区：[1]安徽医科大学第一附属医院创伤骨科,安徽合肥230022

出　　处：《临床骨科杂志》2024年第3期400-404,共5页Journal of Clinical Orthopaedics

基　　金：安徽省高校自然科学研究项目(编号:2023AH053329)。

摘　　要：目的比较股骨颈动力交叉钉系统(FNS)与空心加压螺钉(CCS)内固定治疗股骨颈骨折的疗效。方法将71例股骨颈骨折患者按照内固定方式不同分为FNS组(采用FNS内固定治疗,39例)和CCS组(采用CCS内固定治疗,32例)。比较两组手术情况、骨折愈合时间、术后12个月Harris评分及术后并发症发生率。结果患者均获得随访,时间12~30个月。术中透视次数、下地部分负重时间FNS组少(短)于CCS组(P<0.01),住院费用FNS组高于CCS组(P<0.01),手术时间、住院时间两组比较差异均无统计学意义(P>0.05)。骨折愈合时间FNS组短于CCS组(P<0.05),术后12个月Harris评分FNS组优于CCS组(P<0.01)。术后并发症发生率FNS组低于CCS组(P<0.05)。结论相较于CCS内固定,FNS内固定治疗股骨颈骨折具有术中透视次数少、患者部分负重时间早、骨折愈合快、术后并发症少的优点,但治疗费用高。Objective To compare the efficacy of femoral neck system(FNS)and cannulated compression screw(CCS)for treatment of femoral neck fracture.Methods The 71 patients with femoral neck fractures were divided into FNS group(FNS internal fixation treatment,39 cases)and CCS group(CCS internal fixation treatment,32 cases)according to different internal fixation methods.The operation status,fracture healing time,Harris scores of postoperative 12 months and incidence rate of postoperative complications were compared between the two groups.Results All patients were followed up for 12~30 months.Intraoperative fluoroscopy frequency and partial weight-bearing time of loading in FNS group were less(shorter)than those in CCS group(P<0.01),hospitalization costs in FNS group were higher than CCS group(P<0.01),and there were no statistical differences in operation time and hospital stay between the two groups(P>0.05).The fracture healing time of FNS group was shorter than that of CCS group(P<0.05),and the Harris scores of FNS group were better than CCS group at 12 months after surgery(P<0.01).The incidence rate of postoperative complications in FNS group was lower than that in CCS group(P<0.05).Conclusions Compared with CCS internal fixation,FNS internal fixation in the treatment of femoral neck fracture has the advantages of fewer intraoperative fluoroscopy frequency,earlier partial weight-bearing,faster fracture healing and fewer postoperative complications,while the treatment cost is relatively high.

关 键 词：股骨颈骨折 股骨颈动力交叉钉系统 空心加压螺钉 骨折固定术 

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