中国现代医学杂志2017，Vol.27Issue(19)：45-48,4.DOI:10.3969/j.issn.1005-8982.2017.19.009
经皮加压钢板与空心钉治疗股骨颈骨折的临床疗效比较
Clinical curative effect of percutaneous compression plating and cannulated screw for treatment of femoral neck fractures
摘要
Abstract
Objective To compare the clinical effect of percutaneous compression plate (PCCP) and cannulated screw for treatment of femoral neck fractures.Methods From 2012 to 2015,32 cases of femoral neck fracture were treated with PCCP (PCCP group) and 32 cases were treated with cannulated screw (cannulated screw group) in our hospital.In the PCCP group,there were 14 males and 18 females with the average age of 42.5 y;the patients had closed fractures due to traffic accidents (20 cases),tumble (10 cases),or falling from height (2 cases) without obvious complications;for Garden typing,there were 3 cases of type Ⅰ,5 cases of type Ⅱ,18 cases of type Ⅲ and 6 cases of type Ⅳ.In the cannulated screw group,there were 20 males and 12 females with the average age of 43.3 y;the patients had closed fractures due to traffic accident (22 cases) or tumble (10 cases),there were no obvious complications;for Garden typing,there were 4 cases of type Ⅰ,9 cases of type Ⅱ,17 cases of type Ⅲ and 2 cases of type Ⅳ.The operation time,duration of hospital stay,fracture healing time and Harris hip function score were compared between the two groups,and statistical analyses were performed.Results The hospital time,fracture healing time and Harris hip function score had no statistical differences between the two groups (P ＞ 0.05);but the PCCP group had fewer complications than the cannulated screw group (P ＜ 0.05).Conclusions PCCP can pressurize the fracture ends,but avoid excessive compression.Nail and plate combination can prevent the loss of neck stem angle.Two-screw fixation can resist rotation.Therefore,PCCP is an effective curative method for the treatment of femoral neck fracture.关键词
股骨颈骨折/经皮加压钢板/空心螺钉Key words
femoral neck fracture/PCCP/cannulated screw分类
医药卫生引用本文复制引用
叶俊星,戴涟生,王松华,张斌,杨晓斐,吴红富,程飞,杨志刚,袁凤来..经皮加压钢板与空心钉治疗股骨颈骨折的临床疗效比较[J].中国现代医学杂志,2017,27(19):45-48,4.基金项目
国家自然科学基金(No:82170011) （No:82170011）
江苏省自然科学基金(No:BK20151114) （No:BK20151114）
