新型牵引床闭合复位空心钉固定股骨颈骨折
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滨州医学院附属医院

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山东省医务职工科技创新计划项目


Treatment of cannulated screws fixation for femoral neck fractures via a novel fracture table
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Affiliated Hospital of Binzhou Medical College

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    摘要:

    摘要:目的 探讨一种新型牵引床在闭合复位空心钉固定治疗股骨颈骨折中的临床效果。方法 回顾性分析2019年2月至2020年8月我院收治并获得随访的58名股骨颈骨折患者的临床资料,根据有无应用新型牵引床分为新型组(n=28)与传统组(n=30)。记录体位摆放时间、闭合复位时间、手术时间、术中出血量、术后随访髋关节Harris 评分优良率等指标。结果 新型组体位摆放时间平均(4.44±0.59)min,短于传统组(8.40±0.70)min,差异具有统计学意义(P<0.05);而两组闭合复位时间、手术时间、术中出血量、透视次数、复位质量及术后随访等指标差异无统计学意义(P>0.05),所有患者手术顺利,未发生血管神经损伤等并发症。结论 新型牵引床能够有效减少体位摆放时间、提高手术效率,值得临床推广应用。

    Abstract:

    Abstract: Objective To investigate the clinical effect of a novel fracture table in the treatment of femoral neck fracture with closed reduction and cannulated screws fixation. Methods From February 2019 to August 2020, 58 patients with femoral neck fracture admitted to our hospital were retrospectively analyzed. They were divided into the novel group (n=28) and the traditional group (n=30) according to whether the new fracture table was used or not. The time of position placement, time of closed reduction, time of operation, blood loss, postoperative Harris score and other indicators were recorded. Results The average time of body placement of the novel group was (4.44±0.59) min, which was shorter than that of the traditional group (8.40±0.70) min, and the difference was statistically significant (P< 0.05). However, there were no significant differences in closed reduction time, blood loss, number of images, reduction quality and postoperative follow-up between the two groups (P>0.05). All patients completed surgery without vascular and nerve injury and other complications. Conclusion The novel fracture table had the advantages of reducing the time of body placement and improving the efficiency of operation, which was worthy of clinical application.

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  • 收稿日期:2021-09-14
  • 最后修改日期:2022-01-09
  • 录用日期:2022-04-14
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