不同手术方法对创伤性股骨颈骨折的临床应用对比

Comparison of the Different Operative Methods for Traumatic Femoral Neck Fracture

目的对比不同手术方法对创伤性股骨颈骨折的临床应用。方法收集2019年1月~2021年1月于本院就诊并接受治疗的创伤性股骨颈骨折患者107例。根据手术方法不同分为观察组(全髋关节置换术)55例和对照组(空心钉内固定术)52例。对比两组临床疗效、手术指标、两组手术前后Harris(功能、疼痛、畸形、关节活动度)评分、术后并发症率。结果观察组临床总有效率95.54%,对照组80.76%,差异有意义(P<0.05);观察组手术时间、术中出血量高于对照组,住院时间、下床活动时间短于对照组,组间差异具有统计学意义(P<0.05);手术后Harris评分均观察组高于对照组(P<0.05);观察组并发症率9.09%,对照组23.07%,差异有意义(P<0.05)。结论股骨颈骨折采用两种手术方法均可获得满意效果,但全髋关节置换术后恢复较快,并发症较少。

Objective To compare the results of different operative methods for traumatic femoral neck fracture.Methods Totally,107 patients with traumatic femoral neck fracture were admitted and treated in our hospital from January 2019 to January 2021.They were divided into test group(n=55)and control group(n=52).Patients in the test group were performed total hip arthroplasty(THA),while patients in the control group were performed hollow screw internal fixation of femoral neck fracture.The treatment results and complication rate were compared between the two groups.Results The total effective rate was 95.54%in the test group and 80.76%in the control group.The operation time and hospitalization in the test group were significantly lower than those in the control group.Meanwhile,the peri-operative bleeding in the test group was significantly higher than that in the control group.After the operation,the Harris scores and complication rate in the test group were significantly improved better than those in the control group(P<0.05).Conclusions THA has advantages as quick recovery and less complications,although both methods can obtain the satisfactory results.