空心钉内固定术治疗老年人股骨颈骨折疗效观察

Clinical analysis of femoral neck fractures treatment with cannulated screw fixation

目的探讨采用空心钉治疗股骨颈骨折的疗效。方法回顾性分析62例采用空心钉治疗的60岁以上股骨颈骨折患者的临床资料，并随访评价术后髋关节功能康复状况、日常生活功能及股骨头坏死、骨折不愈合方面的特点。结果经8—62个月随访，62例患者中，治愈30例，好转25例，未愈7例，总有效率88．7％；GardenⅡ型未愈合1例，出现股骨头无菌性坏死1例；Ⅲ型未愈合1例；Ⅳ型未愈合1例，出现股骨头无菌性坏死1例。结论采用空心钉内固定术治疗老年人股骨颈骨折创伤小、操作简单，患者髋部功能及生活自理能力恢复较满意。

Objective To evaluate the effects of the treatment for femoral neck fractures with closed reduction and cannulated screw fixation. Methods The results of stabilization of the femoral neck fracture with cannulated screws in 62 patients（25 male,37 female） from 2001to 2008 were reviewed retrospectively. The mean age of the patients was 68.6 years old. Results 55 patients（ 88.7% ） had cured,30 patients were been cured,25 patients were been good healthy,7patients were not cured. The duration of follow up was 8-62 months in 62 patients. Conclusion Closed reduction and internal fixation with cannulated screw is an effective method of minimally invasive, safety and inexpensive for femoral neck fractures.