临床骨科杂志2024，Vol.27Issue(6)：834-838,5.DOI:10.3969/j.issn.1008-0287.2024.06.021
两种固定方式治疗股骨颈骨折的疗效比较
Comparison of two fixation methods for treatment of femoral neck fractures
摘要
Abstract
Objective To compare the curative effect of femoral neck system(FNS)and cannulated screw fixation on femoral neck fracture.Methods The 46 patients with femoral neck fractures were divided into FNS group(23 cases)and cannulated screw group(23 cases)by random number table method.Operation situation,fracture healing time,hip Harris score and complications were compared between the two groups.Results All patients were followed up for 9～22 months.Intraoperative fluoroscopy frequency and operative time were less(shorter)in FNS group than those in cannulated screw group(P＜0.01),and there were no statistical differences in intraoperative blood loss and hospitali-zation time between the two groups(P＞0.05).The fracture healing time in FNS group was shorter than that in cannu-lated screw group(P＜0.05).Within 3 months after operation,femoral shortening occurred in 4 patients of FNS group and 7 patients in cannulated screw group;and no complications such as infection,deep venous thrombosis of lower ex-tremity,failure of internal fixation,or ischemic necrosis of femoral head occurred.At the last follow-up,there was no statistical difference in hip Harris score between the two groups(P＞0.05).Conclusions Both FNS and cannulated screw can obtained satisfactory therapeutic effect in the treatment of femoral neck fracture;compared with cannulated screw fixation,FNS fixation can significantly reduce the frequency of fluoroscopy,and shorten the time of operation and fracture healing.关键词
股骨颈骨折/骨折固定术,内/股骨颈动力交叉钉系统/空心螺钉Key words
femoral neck fractures/fracture fixation,internal/femoral neck system/cannulated screw分类
医药卫生引用本文复制引用
杨冬松,王琼,凌建生,陈许冬,陈鹏,远东涛,甄相周,吴广良..两种固定方式治疗股骨颈骨折的疗效比较[J].临床骨科杂志,2024,27(6):834-838,5.基金项目
河南省卫健委医学科技攻关项目(编号:LHGJ20200885) （编号:LHGJ20200885）
河南省科技厅重点研发与推广专项项目(编号:212102310722) （编号:212102310722）
河南省教育厅高等学校重点科研项目(编号:24B320011) （编号:24B320011）
漯河医学高等专科学校科技创新项目(编号:2022KJYB44) （编号:2022KJYB44）
