股骨颈动力交叉钉系统治疗中青年股骨颈骨折的近期临床疗效  

Short-term clinical observation of femoral neck system for femoral neck fractures in young and middle-aged

作　　者：杨小龙[1] 范柯君[1] 邵晨 YANG Xiao-long;FAN Ke-jun;SHAO Chen(Department of Orthopedics,Hospital 902 of PLA,Bengbu 233000,Anhui;The Second Affillated Hospital of Bengbu Medical College,Bengbu 233000,Anhui)

机构地区：[1]中国人民解放军联勤保障部队第九0二医院骨科,安徽233000 [2]蚌埠医科大学第二附属医院骨科,安徽蚌埠233000

出　　处：《安徽医专学报》2024年第6期25-28,共4页Journal of Anhui Medical College

基　　金：安徽省高等学校省级质量工程一般项目(编号:2018jyxm0830)。

摘　　要：目的:探讨股骨颈动力交叉钉系统(FNS)治疗中青年股骨颈骨折的近期临床疗效。方法:选取医院诊治的53例中青年股骨颈骨折(GardenⅠ-Ⅲ型)患者,按随机数表法分为观察组(26例)和对照组(27例)。观察组患者采用股骨颈动力交叉钉系统内固定,对照组患者采用空心加压螺纹钉(CCS)内固定,比较两组的手术时间、术中出血量、术中X线透视次数、术后疼痛VAS评分、术后住院时间、术后并发症发生率、患肢完全负重时间。术后12个月时X线影像评价骨折愈合情况,应用Charnley髋关节评分系统评价髋关节功能。结果:观察组患者在手术时间、术中出血量、术后疼痛评分、术后住院时间与对照组差异均无统计学意义(P>0.05)。观察组患者术中X线透视次数显著少于对照组(P<0.05),观察组患者患肢完全负重时间显著早于对照组(P<0.05),观察组患者术后并发症发生率显著低于对照组(P<0.05);术后12个月时,观察组患者骨折畸形愈合及不愈合发生率显著低于对照组(P<0.05),观察组患者Charnley髋关节评分显著优于对照组(P<0.05)。结论:FNS内固定治疗中青年股骨颈骨折稳定可靠,负重时间早,并发症少,更有利于骨折愈合和髋关节功能恢复。Objective:To investigate the short-term clinical results of femoral neck fractures of the young and middle-aged using FNS(femoral neck system).Methods:divided 53 cases of patients with femoral neck fractures(Garden I-II)into the observation group and the control group according to the random number table method,27 cases in control group were treated with CCS,26 cases in observation group with FNS.The operation time,intraoperative blood loss,fluoroscopy frequency,VAS scores,hospitalstay,postoperative complications full load time,fracture healing and Charnley hip function scores at postoperative 12 months were compared between the two groups.Results:Although there were no singificant differences in operative time,intraoperative blood loss,VAS scores and hospital stay between the two groups(P>0.05),the Observation group proved singificantly superior to the Control group in terms of intraoperative times of fluoroscopy(P<0.05).The Observation group resumed full-weight-bearing activity singificantly earlier than the Control group(P<0.05).The total incidence of postoperative complications in the Observation group were lower than those in the Control group(P<0.05).At 12 months,the incidence of nonunion and malunion in the Observation group were lower than those in the Control group(P<0.05),meanwhile the Observation group was significantly superior to the Control group in terms of the Charnley hip function scores(P<0.05).Conclusion:The FNSfor internal fixation of femeral neck fracture in young and middle-aged takes the advantages of strong fixation stability,good recovery of hip function and fast fracture healing.

关 键 词：股骨颈骨折 内固定 股骨颈动力交叉钉系统 空心加压螺纹钉 

分 类 号：R687.3[医药卫生—骨科学]