中国司法鉴定Issue(2)：61-66,6.DOI:10.3969/j.issn.1671-2072.2024.02.008
股骨颈骨折康复时间、临床特点对伤残评定的影响
Effect of Recovery Time and Clinical Characteristics on Forensic Disability Assessment of Femoral Neck Fracture
摘要
Abstract
Objective The study examined the relationship between recovery time,clinical characteristics,and disability assessment results for patients with femoral neck fractures caused by traffic accidents.Methods A retrospective analysis was conducted on the clinical data of 100 cases treated in our institution from 2020 to 2022.Patients were categorized into non-operative treatment(n=40)and surgical treatment(n=60)groups.Comparative analysis covered information including recovery time,complication incidence,fracture healing status,femoral head ischemic necrosis rate,joint function recuperation,and disability assessment outcomes.Results Findings revealed that the surgical treatment group[(6.8±1.5)months]exhibited significantly shorter recovery time than the non-operative treatment group[(9.2±2.1)months,P<0.05],along with a lower complication incidence(P<0.05).Although no significant disparity in fracture healing rates was observed between the two groups(P>0.05),the surgical treatment group(30.0%)demonstrated a markedly lower femoral head ischemic necrosis rate compared to the non-operative treatment group(50.0%,P<0.05).Moreover,the surgical treatment group displayed superior joint function recovery,exemplified by a Harris score of 86.7%compared to 57.5%in the non-operative treatment group(P<0.05).Disability assessment outcomes indicated a significant reduction in disability occurrences within the surgical treatment group(P<0.05).Conclusion The impact of recovery time and clinical characteristics on disability assessment for femoral neck fractures due to traffic accidents is closely linked to treatment methods.Surgical intervention proves to be more effective than non-operative approaches in reducing recovery time,mitigating complication incidences,enhancing joint function recuperation,and reducing disability rates.关键词
交通事故/股骨颈骨折/康复时间/临床特点/伤残评定Key words
traffic accident/femoral neck fracture/recovery time/clinical characteristic/disability assessment分类
社会科学引用本文复制引用
陈焕,史舅生..股骨颈骨折康复时间、临床特点对伤残评定的影响[J].中国司法鉴定,2024,(2):61-66,6.基金项目
中国人民解放军联勤保障部队第九〇四医院2021年院级科研基金项目(MS202124). （MS202124）
