股骨颈骨折切开复位内固定与闭合复位内固定疗效对比观察

Clinical effect observation of reposition enchevillement intracontention and closed reduction and internal fixation for femoral neck fracture

目的:探讨切开复位内固定法与闭合复位内固定法治疗股骨颈骨折的临床疗效。方法:收治股骨颈骨折患者40例,按照治疗方式分为两组。对照组给予闭合复位内固定治疗,观察组给予切开复位内固定治疗,比较两组功能恢复情况、骨折愈合率以及股骨头坏死情况。结果:两组治疗后优良率比较,差异无统计学意义(P>0.05)。两组骨折愈合率比较,差异无统计学意义(P>0.05)。观察组股骨头坏死率明显低于对照组,差异有统计学意义(P<0.05)。结论:切开复位内固定治疗股骨颈骨折的股骨头坏死的发生率低于闭合复位内固定。

Objective：To investigate the clinical effect of reposition enchevillement intracontention and closed reduction and internal fixation in the treatment of femoral neck fracture.Methods：40 cases of patients with femoral neck fracture were divided into two groups according to the treatment.The control group was treated with closed reduction and internal fixation,while the observation group was treated with reposition enchevillement intracontention.The functional recovery,fracture healing rate and osteonecrosis of the femoral head were compared between groups.Results：There was no statistically significant difference in the excellent rate between groups after treatment（P〉0.05）.There was no statistically significant difference in fracture healing rate between groups（P〉0.05）.The osteonecrosis rate of femoral head in the observation group was significantly lower than that in the control group,and the difference was statistically significant（P〈0.05）.Conclusion：The incidence of osteonecrosis of femoral head in the reposition enchevillement intracontention in the treatment of femoral neck fracture was lower than that of closed reduction and internal fixation.