付廷 1李立 1管俞君 1孙广峰 1李丹 1符东林 1聂宇1
作者信息
- 1. 安徽省阜阳市人民医院骨科,安徽 阜阳,236000
- 折叠
摘要
Abstract
Objective To explore the comparison of clinical efficacy between femoral neck system(FNS)and hollow screw inverted triangle fixation for femoral neck fracture patients with comminuted posterior medial wall.Methods From December 2019 to August 2021,fresh femoral neck fracture patients with comminuted posterior medial wall were treated by FNS(FNS group,21 cases)and cannulated screw inverted triangle fixation(cannulated compression screw group,22 cases)in Fuyang People's Hospital.There were 19 males and 24 females,aged from 18-59 years.The observation indexes included intraoperative fluoroscopy,operation time,Garden index,Haidukewych standard score,cortical support,the fracture healing time,the time of full weight-bearing,femoral neck shortening length,failure of internal fixation and the occurrence of femoral head necrosis.Results The postoperative follow-up of the two groups was 12-24 months,with an average of(18.60±4.10)months.There was a significant difference in the frequency of intraoperative fluoroscopy between the two groups(P<0.05).There was no significant difference in operation time,Garden index,Haidukewych score and cortical support between the two groups(P>0.05).There was no significant difference in fracture healing time and Harris hip score between the two groups(P>0.05).The incisions of both groups healed first after surgery.In the cannulated screw group,there was 1 case of internal fixation failure,cannulated screw cutting,nail withdrawal,fracture displacement and coxa vara deformity.The FNS group was superior to the cannulated compression screw group in the time of full weight-bearing,femoral neck shortening,and femoral head necrosis rate(P<0.05).Conclusion For femoral neck fractures with posterior medial wall comminuted,FNS fixation can reduce intraoperative fluoroscopy and femoral neck shortening,facilitate early weight-bearing activities,and lower the rate of femoral head necrosis in early follow-up.关键词
股骨颈骨折/后内侧壁粉碎/股骨颈动力抗旋交叉钉系统/空心螺钉Key words
Femoral neck fracture/Comminuted posterior medial wall/Femoral neck system/Cannulate compression screw分类
临床医学
