| 摘要: |
| ［摘要］ 目的 分析2枚空心钉内固定治疗股骨颈骨折GardenⅠ、Ⅱ、Ⅲ型闭合复位的临床疗效。方法 收集该院2013-01～2017-08收治股骨颈骨折患者85例，均为新鲜性非病理性股骨颈骨折，Garden分型分别为Ⅰ、Ⅱ、Ⅲ型，行2枚空心钉内固定组（简称2枚组）45例:GardenⅠ型18例，Ⅱ型11例，Ⅲ型16例；行3枚空心钉内固定组（简称3枚组）40例:GardenⅠ型13例，Ⅱ型9例，Ⅲ型18例。同时收集相关临床资料，85例随访12～24(20.26±2.68)个月。评估骨折愈合及股骨头坏死情况，采用髋关节功能Harris评分评估术后临床功能疗效。结果 2枚组有42例获得愈合，愈合率为93.33%，15例术后因骨性愈合已取出内固定钉，3例出现股骨头缺血性坏死。3枚组有38例获得愈合，愈合率为95.00%，2例出现股骨头缺血性坏死。两组愈合率差异无统计学意义（P>0.05）。髋关节功能Harris评分结果2枚组（89.70±8.82）分，36例为优，4例为良，2例为可，3例为差，优良率为88.89%；3枚组（91.53±8.38）分，35例为优，2例为良，1例为可，2例为差，优良率为92.50%。两组Harris评分和优良率差异无统计学意义（P>0.05）。结论 股骨颈骨折GardenⅠ、Ⅱ、Ⅲ型闭合复位2枚空心钉内固定治疗可获得满意的临床疗效。 |
| 关键词: 股骨颈骨折 闭合复位 空心钉 内固定 |
| DOI：10.3969/j.issn.1674-3806.2020.02.18 |
| 分类号:R 683.42 |
| 基金项目: |
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| Clinical analysis of two cannulated screws internal fixation in treatment of Garden Ⅰ, Ⅱ and Ⅲ fractures of the femoral neck |
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YI Bo-de, LIANG Bin
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Department of Orthopaedics, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To analyze the clinical effects of closed reduction of Garden Ⅰ, Ⅱ and Ⅲ fractures of the femoral neck treated by two cannulated screws internal fixation. Methods Eighty-five cases of femoral neck fractures which were fresh non-pathological femoral neck fractures were collected in our hospital from January 2013 to August 2017. Garden was classified as type Ⅰ, Ⅱ and Ⅲ. 45 cases releived two cannulated screws internal fixation(three-screw group): 18 cases of Garden type Ⅰ, 11 cases of type Ⅱ, and 16 cases of type Ⅲ. 40 cases releived 3 cannulated screws internal fixation(two-screw group): 13 cases of Garden type Ⅰ, 9 cases of type Ⅱ, and 18 cases of type Ⅲ. At the same time, related clinical data were collectied, and 85 cases were followed up for 12～24 months, with an average of (20.26±2.68)months. The fracture healing and necrosis of the femoral head were evaluated, and Harris score of hip joint function was used to evaluate the clinical effects after operation. Results In the 45 cases who were fixed with two cannulated screws, 42 cases were healed with a healing rate of 93.33%, among whom the internal fixation nails were removed in 15 cases due to bone healing and necrosis of femoral head occurred in 3 cases. In the 40 cases who were fixed with 3 cannulated screws, 38 cases were healed with a healing rate of 95.00%, among whom necrosis of femoral head occurred in 2 cases. There was no significant difference in the healing rate between the two groups(P>0.05). In the 45 cases who were fixed with two cannulated screws, all the patients had an average of Harris score of hip joint function being (89.70±8.82)points, 36 cases were excellent, 4 cases good, 2 cases fair and 3 cases poor, with an excellent and good rate of 88.89%. In the 40 cases who were fixed with 3 cannulated screws, all the patients had an average of Harris score of hip joint function being (91.53±8.38)points, 35 cases were excellent, 2 cases good, 1 case fair and 2 cases poor, with an excellent and good rate of 92.50%. There were no significant differences in Harris score and excellent and good rate between the two groups(P>0.05). Conclusion Two cannulated screws internal fixation is clinically effective in treatment of closed reduction of Garden Ⅰ, Ⅱ and Ⅲ fractures of the femoral neck. |
| Key words: Femoral neck fracture Close reduction Cannulated screw Internal fixation |
