股骨颈动力交叉钉系统与空心螺钉固定治疗中青年股骨颈骨折的近期疗效比较

被引：7

作者：

常廷杰

葛宇峰

高峰

曹奇勇

赵春鹏

王贵

吴新宝

机构：

[1] 北京积水潭医院创伤骨科

[2] 海南西部中心医院骨科

[3] 北京大学第四临床医学院

来源：

中华创伤骨科杂志 | 2022年 / 06期

关键词：

股骨颈骨折; 骨折固定术; 内; 骨钉; 股骨颈动力交叉钉系统;

D O I：

暂无

中图分类号：

R687.3 [骨骼手术];

学科分类号：

1002 ; 100210 ;

摘要：

目的比较股骨颈动力交叉钉系统(FNS)和空心螺钉(CCS)固定治疗中青年股骨颈骨折的近期疗效。方法回顾性分析2020年1月至12月期间北京积水潭医院创伤骨科采用FNS治疗的29例中青年股骨颈骨折患者资料。根据性别、年龄、体重指数匹配29例采用CCS治疗的患者, 并据此分为两组:CCS组29例, 男14例, 女15例;年龄为(48.2±12.3)岁;采用CCS固定;FNS组29例, 男14例, 女15例;年龄为(48.2± 12.0)岁;采用FNS固定。比较两组患者的骨折复位质量、手术时间、术中出血量、末次随访时股骨颈短缩程度、髋关节功能、Barthel指数、健康调查12条简表(SF-12)评分及随访期间并发症发生情况等。结果两组患者术前一般资料及随访时间比较差异均无统计学意义(P>0.05), 具有可比性。CCS组患者的术中出血量[20(10, 50) mL]显著少于FNS组患者[50(20, 50) mL], 末次随访时股骨颈短缩程度(1级5例, 2级18例, 3级6例)显著重于FNS组患者(1级21例, 2级6例, 3级2例), 差异均有统计学意义(P<0.05)。而两组患者的骨折复位质量、手术时间、随访期间并发症发生率、末次随访时Merle d’’Aubigné&Postel评分、Barthel指数及SF-12量表评分比较差异均无统计学意义(P>0.05)。结论对于中青年股骨颈骨折, FNS和CCS都是较好的内固定选择。与CCS比较, FNS可显著减轻患者的股骨颈短缩程度, 更好地维持股骨颈长度。

引用

页码：533 / 537

页数：5

共 16 条

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