摘要
Abstract
Objective:To compare the effects of femoral neck power cross-nailing system internal fixation and hollow nail internal fixation in the treatment of patients with displaced femoral neck fracture.Methods:A total of 100 patients with displaced femoral neck fracture admitted to Hefei Orthopaedic Hospital from January 2022 to June 2024 were selected as the study objects,and were divided into a control group(n=60)and a study group(n=40)by random number table method.The control group were treated with hollow nail internal fixation,and the study group were treated with femoral neck power cross-nailing system internal fixation.The surgical and postoperative rehabilitation indexes,pain degree,hip flexion and extension range of motion,hip joint function,and occurrence of complications were compared between the two groups.Results:The intraoperative blood loss in the study group was lower than that in the control group,and the incision length,operation time and fracture healing time were shorter than those in the control group,the difference were statistically significant(P<0.05).At 3 and 5 days after surgery,the scores of the Pain Visual Analogue Scoring in both groups were lower than those before operation,and on the 5 day after surgery;the study group was lower than the control group,the difference were statistically significant(P<0.05).At 6 months after surgery,the range of motion of hip flexion and extension in both groups were bigger than those at 1 month after surgery,and the study group was higher than the control group,the difference were statistically significant(P<0.05).At 1,3 and 6 months after surgery,the scores of Harris Hip Function Scale in both groups were higher than those before operation,and the study group were higher than the control group,the differences were statistically significant(P<0.05).The complication rate of the study group was 0.00%,which was lower than 13.33%of the control group,the difference was statistically significant(P<0.05).Conclusion:Compared with hollow nail internal fixation,femoral neck dynamic cross nail system internal fixation can effectively reduce the amount of intraoperative blood loss,shorten the time of surgery and fracture healing,reduce the postoperative pain degree,and facilitate the improvement of hip flexion range of motion and the recovery of extension function in the treatment of displaced femoral neck fractures,and the complication rate is low.关键词
移位股骨颈骨折:股骨颈动力交叉钉系统内固定/空心钉内固定/手术效果/髋关节功能Key words
Displaced femoral neck fracture/Femoral neck power cross-nailing system internal fixation/Hollow nail internal fixation/Surgical results/Hip function分类
医药卫生
