两种手术方法治疗青壮年股骨颈骨折的疗效分析

The curative effect of two different surgical techniques in treatment of femoral neck fractures in the young adults

[目的]探讨比较空心钉（cannulate screw,CS）和股骨近端空心钉锁定板（proximal femoral cannulate screw locking plate,PF）治疗青壮年股骨颈骨折的近期疗效。[方法]回顾性分析具有完整随访资料的65例青壮年股骨颈骨折患者,分为CS治疗组（n=32）和PF治疗组（n=33）。记录观察骨折愈合时间、髋关节功能Harris评分、并发症、引流量,并进行统计学分析。[结果]65例患者全部获得随访,随访时间12-24个月（平均16个月）,CS组和PF组观察骨折愈合时间、髋关节功能Harris评分、并发症比较,差异有统计学意义（P〈0.05）,引流量差异无统计学意义（P〉0.05）。[结论]相比于空心钉,股骨空心钉锁定板具有固定可靠、并发症少、骨折愈合时间短、髋关节功能Harris评分,满意率高、微创等优点。

[ Objective] To compare the short- term efficacy of cannulate screw （CS） and proximal femoral plates （PF） in the treatment of young adults patients with femoral neck fracture. [ Method ] The follow - up data of 65 young adults patients with femoral neck fractures were retrospectively analyzed. The patients were divided into CS group （ n = 32） and PF group （ n = 33 ）. The drainage volume, time of fracture healing, functional recovery, and complications were observed. Statistical analysis was performed. [ Result ] All 65 patients were followed up for 12 -24 months （mean 16 months）. There was statistical difference in time of fracture healing, functional recovery and complications between the two groups （ P 〈0. 05 ）. There was no statistical difference in drainage volume between the two groups （P 〉0. 05 ）. Both CS and PF groups could obtain good effects in treatment of femoral neck fractures. [ Conduslon] Compared to CS, PF has advantages of reliable fixation, fewer complications, high satis- faction rate and so on.