[1]邱旭升,戚晓阳,陈一心,等.空心加压螺钉治疗老年无移位型股骨颈骨折的长期随访研究[J].中华老年骨科与康复电子杂志,2019,(01):9-12.[doi:10.3877/cma.j.issn.2096-0263.2019.01.003]
　Qiu Xusheng,Qi Xiaoyang,Chen Yixin,et al.Long-term follow-up of cancellous lag screw fixation for nondisplaced femoral neck fracture in elderly patients[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2019,(01):9-12.[doi:10.3877/cma.j.issn.2096-0263.2019.01.003]
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空心加压螺钉治疗老年无移位型股骨颈骨折的长期随访研究()
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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:
2019年01期
页码:
9-12
栏目:
髋部骨折
出版日期:
2019-02-05

文章信息/Info

Title:
Long-term follow-up of cancellous lag screw fixation for nondisplaced femoral neck fracture in elderly patients
作者:
邱旭升; 戚晓阳; 陈一心; 施鸿飞; 王骏飞; 熊进
210008 南京大学医学院附属鼓楼医院骨科
Author(s):
Qiu Xusheng;  Qi Xiaoyang;  Chen Yixin;  Shi Hongfei;  Wang Junfei;  Xiong Jin.
Department of Orthopaedics, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
关键词:
老年人;  股骨颈骨折;  空心加压螺钉
Keywords:
Aged;  Femoral neck fractures;  Cancellous lag screw
DOI:
10.3877/cma.j.issn.2096-0263.2019.01.003
文献标志码:
A
摘要:
目的 评估老年无移位型股骨颈骨折空心加压螺钉内固定的长期疗效。方法 回顾性收集南京大学医学院附属鼓楼医院有完整随访资料的老年无移位型股骨颈骨折患者42例，患者接受空心加压螺钉内固定手术的平均年龄为（72±5）岁（65～85岁）。记录患者生存状况、术后复查情况、X线情况及再次手术情况；采用Harris评分评价末次随访时的髋关节功能，并采用疼痛视觉模拟评分（VAS）评价髋部疼痛情况。结果 36例患者获得满意随访，随访率85.7%，平均随访时间为（6.6±2.9）年（2.1～10.6年）。健在患者36例（36/42，85.7%），已故患者6例（7/42，14.3%）。5例（5/42，11.9%）出现股骨头坏死，无骨折不愈合。1例患者（1/42，2.4%）因股骨头坏死而再次手术，实施率为2.4%（1/42）。除去已故及行关节置换患者外，其余35例患者末次随访时髋关节Harris评分为（83±9）分；VAS评分为（0.6±1.0）分（0～4分）。结论 对于老年无移位型股骨颈骨折，空心加压螺钉固定是一种值得推荐的治疗方法。
Abstract:
Objective To evaluate the long-term outcome of cancellous lag screw fixation for nondisplaced femoral neck fracture in elderly patients. Methods Forty-two elderly patients with nondisplaced femoral neck fracture with complete data were included in the present study. The average age was (72±5) years (65-85 years) when they received surgery, The following items were recorded: the patients’ living condition, reexamine in the out clinic after discharge, X rays and reoperation. The clinical outcomes were evaluated by Harris hip score, the pain and walk ability were evaluated by VAS score and self made scale. Results All patients were well followed up, the rate was 85.7%. The average follow-up was (6.6±2.9) years (2.1-10.6 years). Thirty-six patients (36/42, 85.7%) are still living, 6 patients (7/42, 14.3%) died. No nonunion was found, avascular necrosis were found in 11.9% (5/42) patients, while only 1 patient (2.4%, 1/42) received reoperation. For the living patients, the Harris score of the left 35 patients were 83±9, the VAS pain score was 0.6±1.0 (0-4 score). Conclusion Cancellous lag screw fixation was a valuable method for the treatment of nondisplaced femoral neck fracture in elderly patients.

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备注/Memo

备注/Memo:
基金项目：江苏省青年医学人才项目（QNRC2016009）；南京市卫生局重点项目（ZKX16034）
更新日期/Last Update: 2019-02-25