闭和复位空心钉内固定治疗股骨颈骨折40例疗效分析

Effect analysis of simple internal fixation combined with vertebral plasty in treatment of vertebral fracture

目的对比探讨闭和复位空心钉内固定与全髋关节置换术治疗股骨颈骨折的方法及临床疗效。方法选取普洱市人民医院近期确诊收治的70名股骨颈骨折患者分为两组,其中对照组32例行全髋关节置换术,治疗组38例行闭和复位空心钉内固定,随访期间对比两组患者的临床指标、临床疗效(优良率)及Frankel分级变化。结果治疗后所有患者的Frankel分级均优于治疗前(P<0.05),而两组间相比,治疗组的Frankel分级、临床疗效及临床指标均优于对照组(P<0.05)。结论采用闭和复位空心钉内固定治疗股骨颈骨折,符合生物力学特征,可有效改善患者的临床症状及体征,且安全性高,值得推广。

Objective To investigate and contrast the method and clinical effect of closed reduction and internal fixation with cannulated screws versus total hip arthroplasty for the treatment of femoral neck fracture. Methods Selected recent diagnosed in our hospital from 70 patients with femoral neck fracture were divided into two groups ,the control group 32 ca- ses total hip arthroplasty, the treatment group 38 cases with closed reduction and internal fixation with eannulated screws, during follow -up were compared between the two groups the clinical indices of the patients,clinical outcome （good rate） and Frankel classification change. Results After treatment, all patients with Frankel grade are better than before treatment （P 〈 0. 05）, and between the two groups, treatment group Frankel grading, clinical efficacy and clinical indicators were better than those the control group （P 〈 0. 05）. Conclusions The closed reduction and internal fixation with cannulated screws for treatment of femoral neck fracture, meets the biomechanical features, can effectively improve the clinical symp- toms and signs, and the security is high ,is worth popularizing.