两种内固定法治疗股骨颈骨折疗效观察

Femoral neck fracture by two internal fixation in elderly patients

【目的】探讨用三枚克氏针与空心钉固定治疗股骨颈骨折疗效及相关因素对预后的影响。【方法】将111例股骨颈骨折患者随机分为A、B两组,A组58例,B组53例,分别应用AO加压空心钉和克氏针内固定,比较两组的治疗效果。【结果】经6个月～8年1个月,平均4年随访观察,A组优43例,良14例,差5例;B组优19例,良23例,差11例,两组疗效及优良率比较,差异有统计学意义(P<0.05)。【结论】两组总体疗效及优良率,A组均优于B组,且AO加压空心钉内固定法比克氏针内固定法更安全易行,固定牢固,故可考虑为首选。

[Objective]To study the therapeutic effect of Cannulated Screw and Kirsnel Needle factors that influence the outcome of the femoral neck fractures.[Methods] 111 femoral neck fracture patients were randomly divided into two groups：A group patients were treated with cannulated screw fixation,B group patients were treated with Kirsnel Needle fixation.Then compare their effects.[Results] The average follow-up time was 36～48 months（6～97 months）,The Rate of marked of A group is 91.7%,The Rate of marked of B group is 79.2%,the difference was very significant（P〈0.05）.[Conclusions] A group is better than B group in the rate of marked,Cannulated Screw is more safe and reliable than Kirsnel Needle.