[1]张于,程亮亮,王峰,等.2枚与3枚空心钉治疗无移位股骨颈骨折的疗效对比[J].中华老年骨科与康复电子杂志,2024,(05):281-286.[doi:10.3877/cma.j.issn.2096-0263.2024.05.004]
 Zhang Yu,Cheng Liangliang,Wang Feng,et al.Comparison of clinical efficacy between two versus three cannulated compression screws for the treatment of femoral neck fractures without displacement[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2024,(05):281-286.[doi:10.3877/cma.j.issn.2096-0263.2024.05.004]
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2枚与3枚空心钉治疗无移位股骨颈骨折的疗效对比()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2024年05期
页码:
281-286
栏目:
髋部骨折
出版日期:
2024-10-05

文章信息/Info

Title:
Comparison of clinical efficacy between two versus three cannulated compression screws for the treatment of femoral neck fractures without displacement
作者:
张于程亮亮王峰赵德伟
116001 大连大学附属中山医院骨科
Author(s):
Zhang Yu Cheng Liangliang Wang Feng Zhao Dewei
Department of Orthopedics, Zhongshan Hospital, Dalian University, Dalian 116001, China
关键词:
股骨颈骨折 空心钉 无移位骨折
Keywords:
Femoral neck fractures Cannulated screws Fractures without displacement
DOI:
10.3877/cma.j.issn.2096-0263.2024.05.004
文献标志码:
A
摘要:
目的 比较运用2枚空心拉力螺钉与3枚空心拉力螺钉治疗无移位股骨颈骨折的临床疗效。方法 回顾性分析2017年1月至2020年12月期间我院采用空心钉内固定治疗的85例无移位股骨颈骨折患者资料。根据固定螺钉数量不同分为2枚空心拉力螺钉组及3枚空心拉力螺钉组。比较两组患者手术时间、术中出血量、骨折愈合时间,术后6个月髋关节评分及骨坏死、骨折不愈合等并发症。结果69例患者获得随访,2枚空心拉力螺钉组32例,随访时间(25.8±4.1)个月。男19例,女13例,平均年龄(48.71±12.6)岁,3枚空心拉力螺钉组37例,随访时间(27.9±5.2)个月。男21例,女16例,平均年龄(50.32±9.4)岁。2枚空心拉力螺钉组分别在手术时间(44.7±7.1)min、术中出血量(83.5±8.6)ml方面优于3枚空心拉力螺钉组(48.3±3.9)min及(88.6±7.9)ml,术后骨坏死发病率2枚空心拉力螺钉组(21.88%)显著低于3枚空心拉力螺钉组(35.14%),差异具有统计学意义(P<0.001);而在骨折愈合时间及髋关节评分方面无明显统计学差异。结论 对于GardenⅠ、Ⅱ型无移位股骨颈骨折,2枚空心拉力螺钉能够提供足够固定强度、早期进行功能康复,同时减少对股骨头内血运的破坏,显著降低术后骨坏死发生率。
Abstract:
Objective To compare the clinical efficacy of treating non-displaced femoral neck fractures with two versus three cannulated compression screws. Methods A retrospective analysis was conducted on 85 patients with non-displaced femoral neck fractures treated with cannulated screws in our hospital from January 2017 to December 2020. The patients were divided into two groups based on the number of fixation screws: the two-screw group and the three-screw group. The two groups were compared in terms of operation time, intraoperative blood loss, fracture healing time, hip joint scores at 6 months postoperatively, and complications such as osteonecrosis and nonunion. Results Sixty-nine patients were followed up; 32 in the two-screw group, with a follow-up period of 25.8±4.1 months. This group included 19 males and 13 females, with an average age of (46.3±10.1) years. The three-screw group comprised 37 patients, with a follow-up period of (27.9±5.2) months, including 21 males and 16 females, with an average age of (48.1±7.7) years. The two-screw group showed better results in operation time (44.7±7.1) minutes and intraoperative blood loss (83.5±8.6 ml) compared to the three-screw group (48.3±3.9) minutes and (88.6±7.9) ml, respectively. The incidence of postoperative osteonecrosis in the two-screw group (21.88%) was significantly lower than in the three-screw group (35.14%) (P<0.001). No significant statistical difference was observed in fracture healing time and hip joint scores. Conclusions For Garden I and II type non-displaced femoral neck fractures, two cannulated compression screws can provide sufficient fixation strength, allow early functional rehabilitation, and reduce the destruction of intraosseous blood supply to the femoral head, significantly lowering the rate of postoperative osteonecrosis.

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备注/Memo

备注/Memo:
基金项目:大连市重点医学专业建设基金项目“登峰计划”
更新日期/Last Update: 2024-10-12