中国伤残医学2024，Vol.32Issue(17)：10-14,5.DOI:10.13214/j.cnki.cjotadm.2024.017.003
股骨颈动力交叉钉系统内固定术与空心加压螺钉内固定术治疗股骨颈骨折患者的效果分析
Effect Analysis of Femoral Neck Dynamic Cross-Nail System Internal Fixation and Cannulated Compression Screw Internal Fixation in the Treatment of Patients with Femoral Neck Fracture
殷实 1倪晓辉 1张卢 1王俊义 1夏海冬 1陈爱华 1刘晓庆1
作者信息
- 1. 江苏省盐城市大丰人民医院骨科,江苏 盐城 224100
- 折叠
摘要
Abstract
Objective:To investigate the clinical effect of femoral neck dynamic cross-nail system(FNC)internal fixation and cannulated compression screw(CCS)internal fixation on patients with femoral neck fracture.Methods:Forty-four patients with femoral neck fracture admitted to Yancheng Dafeng People's Hospital from December 2020 to January 2023 were selected as the study objects.According to random number table method,the patients were divided into a control group and a study group,with 22 cases in each group.CCS internal fixation was used in the control group,FNC internal fixation was used in the study group.Perioperative period indexes,occurrence of complications,treatment outcomes,independence of life,hip function and activities of daily living were compared between the two groups.Results:The operation time,hospital stay and total weight bearing time of the study group were shorter than those of the control group,and the intraoperative fluoroscopy times and intraoperative blood loss were less than those of the control group,with statistical significances(P<0.05).The incidence of complications in the study group was 9.09%,which was lower than 36.36%in the control group,the difference was statistically significant(P<0.05).The fracture healing time and shortening length of femoral neck in the study group were shorter than those in the control group,and the changes of cervical trunk angle were smaller than those in the control group,with statistical significances(P<0.05).The incidence of lateral thigh irritation in the study group was 4.55%,which was lower than 36.36%in the control group,the difference was statistically significant(P<0.05).At 3 and 6 months after operation,the scores of Functional Independence Measure Scale,Harris Hip Function Scale and Activities of Daily Living Scale in the study group were higher than those in the control group,with statistical significances(P<0.05).Conclusion:Both FNC and CCS have good therapeutic effects in the treatment of patients with femoral neck fracture,but FNC internal fixation has better perioperative period index therapeutic effect than CCS internal fixation,and the incidence of postoperative complications is low,and the follow-up outcome of patients after discharge is ideal,which is conducive to improving the prognosis of patients.关键词
股骨颈骨折/空心加压螺钉内固定术/股骨颈动力交叉钉系统/围手术期/并发症Key words
Femoral neck fracture/Cannulated compression screw internal fixation/Femoral neck dynamic cross-nail system/Perioperative period/Complication分类
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殷实,倪晓辉,张卢,王俊义,夏海冬,陈爱华,刘晓庆..股骨颈动力交叉钉系统内固定术与空心加压螺钉内固定术治疗股骨颈骨折患者的效果分析[J].中国伤残医学,2024,32(17):10-14,5.
