股骨颈系统与空心螺钉治疗中青年股骨颈骨折的比较
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1.江苏联合职业技术学院徐州医药分院;2.江苏徐州矿务局总医院骨科

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自动化踝关节康复器在脊柱术后预防深静脉血栓形成的应用研究


Comparison of femoral neck system and cannulated compression screw in the treatment of femoral neck fractures in young and middle-aged people
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1.Xuzhou Medical Branch, Jiangsu United Vocational and Technical College;2.Department of Orthopedics, Central Hospital of Xuzhou Mining Bureau

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    摘要:

    [目的] 探讨股骨颈系统(femoral neck system,FNS)与传统3枚空心加压螺钉(cannulate compression screw,CCS)治疗中青年股骨颈骨折患者的临床效果。[方法] 回顾性分析2019年11月~2020年6月符合选择标准的94例股骨颈骨折患者,根据医患沟通分为FNS组(46例)和CCS组(48例)。比较两组围手术期、随访及影像结果。[结果] 两组患者均顺利完成手术,术中无神经血管损伤等严重并发症,随访时间平均15.48±1.62个月。围手术期FNS组手术时间、术中出血量、术中透视次数和住院时间均比CCS组少,两组切口均甲级愈合。随访结果为FNS组完全负重行走时间显著早于CCS组(P<0.05)。两组Harris评分、髋伸-屈ROM、髋内-外旋ROM随恢复时间延长均显著增加,VAS评分疼痛随时间延长疼痛逐渐减轻,术后1个月FNS组Harris评分和VAS评分均比CCS低。影像结果Garden对线指数、 骨折愈合、Tonnis分级三项指标两组均显示骨折良好愈合,股骨颈短缩术后FNS组明显少于CCS组,内固定物稳定性FNS组明显优于CCS组。 [结论] 相比于传统内固定方式,FNS手术创伤小、稳定性强,术后拥有更好的髋关节功能。 关键词: 股骨颈系统, 空心加压螺钉, 股骨颈骨折, 内固定

    Abstract:

    [Objective] Comparison of the effectiveness of femoral neck system (FNS) and cannulate compression screw (CCS) in the treatment of femoral neck fractures in young and middle-aged patients.[Methods] A retrospective analysis of 94 patients with femoral neck fractures who met the selection criteria from November 2019 to June 2020 was divided into FNS group (46 cases) and CCS group (48 cases) according to doctor-patient communication. The perioperative period, follow-up and imaging results were compared between the two groups. [Results] Both groups completed the operation successfully, and there were no serious complications such as neurovascular injury during the operation. The average follow-up time was 15.48±1.62 months. In the perioperative period, the operation time, intraoperative blood loss, intraoperative fluoroscopy times and hospital stay in the FNS group were all less than those in the CCS group. The follow-up results showed that the full weight-bearing walking time in the FNS group was significantly earlier than that in the CCS group (P<0.05). Harris score, hip extension-flexion ROM, hip internal-external rotation ROM increased significantly with recovery time in both groups.VAS score pain gradually decreased with time. Harris score and VAS score in FNS group were lower than CCS 1 month after operation. Imaging results Garden alignment index, fracture union and Tonnis grade showed good fracture healing in both groups. Femoral neck shortening and the internal fixation stability of the FNS group was significantly less than the CCS group. [Conclusion] FNS surgery was less traumatic, more stable, and better hip function after surgery compared with traditional internal fixation.

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  • 收稿日期:2022-01-25
  • 最后修改日期:2022-08-02
  • 录用日期:2023-01-12
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