股骨颈动力交叉钉系统与倒三角形空心螺钉固定治疗GardenⅢ/Ⅳ型股骨颈骨折的效果对比  

Comparison of the Effect of Femoral Neck Dynamic Cross Nail System and Inverted Triangle Hollow Screw Fixation in the Treatment of GardenⅢ/ⅣFemoral Neck Fracture

作　　者：雷军 LEI Jun(Department of Orthopaedic Surgery,the Second People's Hospital of Linchuan District,Fuzhou 344100,Jiangxi,China)

机构地区：[1]临川区第二人民医院骨外科,江西抚州344100

出　　处：《医学信息》2025年第9期137-140,共4页Journal of Medical Information

摘　　要：目的对比股骨颈动力交叉钉系统与倒三角形空心螺钉固定治疗GardenⅢ/Ⅳ型股骨颈骨折的效果。方法选取2020年10月1日-10月31日我院诊治的66例GardenⅢ/Ⅳ型股骨颈骨折患者为研究对象,采用随机数字表法分为对照组(n=33)和观察组(n=33)。对照组采用倒三角形空心螺钉固定治疗,观察组采用股骨颈动力交叉钉系统治疗,比较两组临床效果、临床手术指标、髋关节功能、疼痛情况、并发症发生率。结果观察组治疗优良率为96.97%,对照组治疗优良率为93.94%,组间比较,差异无统计学意义(P>0.05);与对照组比较,观察组手术时间较长、术中出血量较大,但骨折愈合时间、住院时间均较短(P<0.05);与对照组比较,观察组术后1、3、6个月髋关节功能Harris评分较高(P<0.05);与对照组比较,观察组术后1、2个月VAS评分较低(P<0.05);观察组并发症发生率为6.06%,对照组并发症发生率为15.15%,组间比较,差异有统计学意义(P<0.05)。结论股骨颈动力交叉钉系统与倒三角形空心螺钉固定治疗GardenⅢ/Ⅳ型股骨颈骨折均具有良好的效果,但股骨颈动力交叉钉系统治疗可提高髋关节功能、减轻疼痛程度、降低并发症发生率,且可缩短骨折愈合和住院时间,值得临床应用。Objective To compare the effect of femoral neck dynamic cross nail system and inverted triangle hollow screw fixation in the treatment of GardenⅢ/Ⅳfemoral neck fracture.Methods A total of 66 patients with GardenⅢ/Ⅳfemoral neck fracture diagnosed and treated in our hospital from October 1,2020 to October 31,2020 were selected as the research objects and divided into control group(n=33)and observation group(n=33)by random number table method.The control group was treated with inverted triangular hollow screw fixation,and the observation group was treated with femoral neck dynamic cross nail system.The clinical effect,clinical operation index,hip joint function,pain and complication rate were compared between the two groups.Results Theclinical rate of treatment in the observation group was 96.97%,and that in the control group was 93.94%,there was no significant difference between the two groups(P>0.05).Compared with the control group,the operation time of the observation group was longer,the intraoperative blood loss was larger,but the fracture healing time and hospitalization time were shorter(P<0.05).Compared with the control group,the Harris score of hip joint function in the observation group was higher at 1,3 and 6 months after operation(P<0.05).Compared with the control group,the VAS score of the observation group was lower at 1 and 2 months after operation(P<0.05).The incidence of complications in the observation group was 6.06%,and that in the control group was 15.15%,the difference between the two groups was statistically significant(P<0.05).Conclusion Both femoral neck dynamic cross nail system and inverted triangular hollow screw fixation have good effects in the treatment of GardenⅢ/Ⅳfemoral neck fractures.However,femoral neck dynamic cross nail system can improve hip function,reduce pain degree,reduce the incidence of complications,and shorten fracture healing and hospitalization time,which is worthy of clinical application.

关 键 词：股骨颈动力交叉钉系统 倒三角形空心螺钉固定 GardenⅢ/Ⅳ型 股骨颈骨折 

分 类 号：R687.3[医药卫生—骨科学]