空心拉力螺钉内固定术与人工关节置换术治疗股骨颈新鲜骨折的疗效分析

Hollow lag screw fixation and arthroplasty for fresh femoral neck fractures

目的:探讨空心拉力螺钉内固定术与人工关节置换术治疗股骨颈新鲜骨折的治疗效果。方法:空心拉力螺钉内固定(固定组)患者35例,人工股骨头或人工全髋置换术(置换组)22例。结果:两组患者的并发症发生率和远期功能评分均无统计学意义(P>0.05),而内固定组的住院时间、手术费用、手术时间和失血量均明显少于置换组(P<0.001)。结论:有效的内固定术仍不失为新鲜股骨颈骨折的较好的治疗方法。

Objective：To investigate the hollow lag screw fixation and the artificial joint replacement in the treatment of femoral neck fractures.Methods：The hollow screw fixation in 35 patients,and femoral head replacement or total hip arthroplasty in 22 patients were reviewed.Results：There was no significant difference in the incidence of complication and reoperation rate,time to get out of bed and long-term functional score between the two groups（P〉0.05）.The hospitalization time,the expenses,operation time,surgical trauma and blood loss in the fixation group were significantly less than those in the hip replacement group（P〈0.001）.Conclusions：The effective internal fixation still is effective in treatment of fresh femoral neck fracture.