临床骨科杂志2024，Vol.27Issue(6)：829-833,5.DOI:10.3969/j.issn.1008-0287.2024.06.019
空心钉联合内侧支撑钢板固定治疗中青年Pauwels Ⅲ型股骨颈骨折
Cannulated screw combined with medial support plate in the treatment of young and middle-aged Pauwels type Ⅲ femoral neck fractures
摘要
Abstract
Objective To investigate the short-term effect of cannulated screw combined with medial support plate in the treatment of young and middle-aged Pauwels type Ⅲ femoral neck fracture.Methods According to different methods of internal fixation,27 young and middle-aged patients with Pauwels type Ⅲ femoral neck fractures were di-vided into observation group(12 cases were treated with cannulated screw combined with medial support plate)and control group(15 cases were treated with 3 cannulated screw).Operation situation,fracture healing,Garden index,Harris score and complication incidence were compared between the two groups.Results All patients were followed up for 18～24 months.The intraoperative blood loss volume and operation time in the observation group were more(longer)than those in the control group(P＜0.01).Fracture healing time in observation group was shorter than that in control group(P＜0.01).Garden index measured on the X-ray film:which had no statistical difference between the two groups at 3 d after surgery(P＞0.05),and the observation group was higher than the control group at 6 months after surgery(P＜0.05).At 6,12 months after operation,Harris score of the observation group was higher than that of the control group(P＜0.05).The complication incidence of the observation group was lower than that of the control group(P＜0.05).Conclusions In the treatment of middle-aged and young patients with Pauwels type Ⅲ femoral neck fracture,the cannulated screw combined with medial femoral support plate have the advantages of short fracture healing time,high quality of fracture reduction,and good recovery of hip function,stable firm fixation,better compres-sion effect based on the anti-rotation,with fewer complications and good short-term effect.关键词
空心钉/内侧支撑钢板/股骨颈骨折Key words
cannulated screw/medial support plate/femoral neck fractures分类
医药卫生引用本文复制引用
刘诚,赵领财,李永奖..空心钉联合内侧支撑钢板固定治疗中青年Pauwels Ⅲ型股骨颈骨折[J].临床骨科杂志,2024,27(6):829-833,5.基金项目
湖北省自然科学基金(编号:2020CFB588) （编号:2020CFB588）
湖北省科技厅第一批科技计划项目(编号:2018-916-000-007) （编号:2018-916-000-007）
