赣南医科大学学报2025，Vol.45Issue(10)：952-956,971,6.DOI:10.3969/j.issn.2097-7174.2025.10.005
多学科协作绿色通道模式下股骨颈动力交叉钉系统治疗股骨颈骨折的疗效分析
Efficacy analysis of femoral neck dynamic cross-screw system in the treatment of femoral neck fractures under multidisciplinary treatment green channel
摘要
Abstract
Objective:To explore the clinical effectiveness of the femoral neck dynamic cross-screw system(FNS)in the treatment of femoral neck fractures under a multidisciplinary treatment green channel model.Methods:A retrospective study reviewed 90 cases(30 cases per group)of femoral neck fractures in patients aged 18-65 years treated in our Hospital from January 2022 to January 2024.The cohort was stratified into three groups based on distinct internal fixation techniques.Green channel FNS fixed group:multidisciplinary and green channel collaboration treatment with FNS fixation within 8 hours of surgery.Green channel CCS fixed group:multidisciplinary and green channel collaboration treatment with cannulated compression screw(CCS)fixation within 8 hours of surgery.Traditional CCS fixed group:traditional treatment with CCS fixation,surgery performed 8 hours after admission.Comparison was made about the preoperative general data,length of hospital stay,intraoperative surgical indicators(blood loss volume,operation time,number of fluoroscopies),fracture healing time,postoperative complications(femoral head necrosis,infection,etc.),and 1-year postoperative hip Harris scores among patients in Green channel FNS fixed group,Green channel CCS fixed group,and Traditional CCS fixed group.Results:Green channel FNS fixed group was significantly superior to Green channel CCS fixed group and Traditional CCS fixed group in terms of length of hospital stay,operation time,number of fluoroscopies,fracture healing time,and Harris score(P＜0.05);Green channel CCS fixed group was superior to Traditional CCS fixed group in terms of length of hospital stay,blood loss volume,fracture healing time,and Harris score(P＜0.05).There was a statistically significant difference in the incidence of postoperative complications among the three groups(P＜0.05),and the incidence of postoperative complications in Green channel FNS fixed group was lower than that in Traditional CCS fixed group.Conclusion:With the multidisciplinary collaborative green channel model,FNS can significantly improve the efficiency of early surgical intervention,optimize the fracture healing process,enhance hip joint function,and reduce postoperative complications,thus demonstrating favorable clinical promotion value.关键词
多学科协作/绿色通道/股骨颈动力交叉钉系统/股骨颈骨折Key words
Multidisciplinary treatment/Green channel/Femoral neck dynamic cross-screw system/Femoral neck fracture分类
医药卫生引用本文复制引用
刘长铁,刘俊林,毛玉琳,陈鸿,胡介宇..多学科协作绿色通道模式下股骨颈动力交叉钉系统治疗股骨颈骨折的疗效分析[J].赣南医科大学学报,2025,45(10):952-956,971,6.基金项目
江西省卫生健康委员会科技计划项目(202311904) （202311904）
