摘要
Abstract
Objective To compare the effect of femoral neck dynamic cross nail system and inverted triangle hollow screw fixation in the treatment of GardenⅢ/Ⅳ femoral neck fracture.Methods A total of 66 patients with GardenⅢ/Ⅳ femoral neck fracture diagnosed and treated in our hospital from October 1,2020 to October 31,2020 were selected as the research objects and divided into control group(n=33)and observation group(n=33)by random number table method.The control group was treated with inverted triangular hollow screw fixation,and the observation group was treated with femoral neck dynamic cross nail system.The clinical effect,clinical operation index,hip joint function,pain and complication rate were compared between the two groups.Results Theclinical rate of treatment in the observation group was 96.97%,and that in the control group was 93.94%,there was no significant difference between the two groups(P＞0.05).Compared with the control group,the operation time of the observation group was longer,the intraoperative blood loss was larger,but the fracture healing time and hospitalization time were shorter(P＜0.05).Compared with the control group,the Harris score of hip joint function in the observation group was higher at 1,3 and 6 months after operation(P＜0.05).Compared with the control group,the VAS score of the observation group was lower at 1 and 2 months after operation(P＜0.05).The incidence of complications in the observation group was 6.06%,and that in the control group was 15.15%,the difference between the two groups was statistically significant(P＜0.05).Conclusion Both femoral neck dynamic cross nail system and inverted triangular hollow screw fixation have good effects in the treatment of GardenⅢ/Ⅳ femoral neck fractures.However,femoral neck dynamic cross nail system can improve hip function,reduce pain degree,reduce the incidence of complications,and shorten fracture healing and hospitalization time,which is worthy of clinical application.关键词
股骨颈动力交叉钉系统/倒三角形空心螺钉固定/GardenⅢ/Ⅳ型/股骨颈骨折Key words
Femoral neck dynamic cross nail system/Inverted triangle hollow screw fixation/GardenⅢ/Ⅳ/Femoral neck fracture分类
医药卫生
