摘要
Abstract
Objective To investigate the effect of Gotfried supported reduction and internal fixation on hip function and hemodynamics in young and middle-aged patients with femoral neck fracture. Methods The young and middle-aged patients with femoral neck fracture treated in our hospital from April 2010 to August 2015 were divided into group A (internal fixation with closed reduction screw alone), group B (Gotfried support reset plus closed reduction screw fixation) and group C (anatomic reduction) according to different treatments, with 35 patients in each group. Hemodynamic changes, length of hospital stay, incidence of neck shortening 1 year after operation and Harris scores were compared between the two groups. Results During the treatment, the changes of systolic blood pressure, diastolic blood pressure and heart rate in group A and B were lower than those in group C, and the length of stay in group B (8.5 ± 3.2 days) was less than that in group A (8.9 ± 3.2 days) and group C (8.9 ± 3.5 days), the differences were statistically significant ( P<0.05). In addition, after one year's follow-up, the incidence of no neck shortening in group B (68.6%) and group C (65.7%) was significantly higher than that in group A (37.1%), and Harris scores in group B (86.2 ± 6.1) and group C (85.3 ± 6.9) were significantly higher than those in group A (76.9 ± 6.6), but there were no significant differences in the incidence of avascular necrosis of femoral head among the three groups. Harriss scores in group B (86.2 ± 6.1) and group C (85.3 ± 6.9) were higher than those in group A (76.9 ± 6.6), but there were no significant differences among the three groups in the incidence of avascular necrosis of femoral head. Conclusions Gotfried supported reduction and internal fixation help to reduce the hemodynamic effect of treatment on patients, shorten the length of stay in patients, improve hip function and be conducive to the prevention of postoperative neck shortening.关键词
股骨颈骨折/内固定/髋关节功能/血流动力学Key words
femoral neck fractures/internal fixation/hip joint function/hemodynamics分类
医药卫生
