骨折内固定术治疗非老年性股骨颈骨折手术时机的临床研究

Clinical Study of Internal Fixations for Treatment of Non-elderly Femoral Neck Fracture Surgery Timing

目的探讨不同手术时机骨折内固定术治疗非老年性股骨颈骨折的疗效。方法回顾分析安阳市中医院骨二科2011年3月—2014年6月收治的64例非老年性股骨颈骨折,按手术时机分为两组,对照组30例为受伤到手术时间≥24 h,观察组34例为受伤到手术时间≤24 h,两组患者均行空心钉内固定术,观察两组并发症情况及髋关节Harris评分标准,评价不同手术时机的临床疗效。结果观察组术后12个月骨折不愈合率为5.88%低于对照组13.33%,差异有统计学意义(P>0.05);观察组股骨头坏死率为20.58%低于对照组36.67%,P<0.05差异有统计学意义;观察组Harris评分总优良率为82.04%高于对照组60.00%,P<0.05。结论非老年性股骨颈骨折患者在24h内进行骨折内固定手术可有效提高骨折愈合率,降低股骨头坏死率,促进髋关节功能恢复。

Objective To evaluate the efficacy of treatment of non-fixation of femoral neck fractures in the elderly different timing of surgery fracture. Methods Retrospective analysis of Anyang City Hospital Second Department of Orthopedics March 2011—June 2014 were treated 64 cases of non-elderly femoral neck fracture, according to the timing of surgery is divided into two groups, 30 cases of injury to the surgical time ≥24 h observation group for the injured to the surgical time ≤24h, two groups of patients were cannulated screw fixation, and complications were observed Harris hip score, evaluate the clinical efficacy of the different timing of surgery. Results The observation group after 12 months nonunion rate was 5.88% lower than the control group, 13.33%, femoral head necrosis observation group was20.58% lower than the control group, 36.67%, P〈0.05; observation group Harris excellent overall score was 82.04 percent higher than 60.00%, P〈0.05. Conclusion The non-elderly patients with femoral neck fracture within 24 h fracture fixation can be carried out effectively improve fracture healing rate and reduce the rate of femoral head necrosis, hip promote functional recovery.