FNS和CCS治疗股骨颈骨折的效果分析

Effect Analysis of FNS and CCS in the Treatment of Femoral Neck Fracture

目的:探讨股骨颈骨折患者应用股骨颈动力交叉钉系统(FNS)和空心加压螺钉(CCS)治疗的临床效果。方法:回顾性分析2021年1月-2022年5月景德镇市中医医院收治的60例行手术治疗的股骨颈骨折患者的临床资料,依据手术方法不同分为FNS组(n=30)及CCS组(n=30),FNS组应用FNS治疗,CCS组应用CCS治疗。对比两组围手术期指标、治疗有效率及并发症发生率。结果:两组手术时间、住院时间对比,差异均无统计学意义(P>0.05);FNS组透视观察次数少于CCS组,骨折愈合时间短于CCS组,差异均有统计学意义(P<0.05);FNS组优良率为90.00%,高于CCS组的66.67%,差异有统计学意义(P<0.05);FNS组并发症发生率为6.67%,低于CCS组的26.67%,差异有统计学意义(P<0.05)。结论:FNS及CCS均可有效治疗股骨颈骨折,相比于CCS,FNS治疗优势更加明显,可有效减少术中透视观察次数,缩短骨折愈合时间,利于促进髋关节功能恢复,且术后并发症发生率较低,安全可靠,值得推广应用。

Objective:To investigate the clinical effect of application of femoral neck fracture in patient with femoral neck system(FNS)and cannulated compression screw(CCS).Method:The clinical data of 60 patients with femoral neck fracture who underwent operation treatment in Jingdezhen Hospital of Traditional Chinese Medicine from January 2021 to May 2022 were retrospectively analyzed.According to the different operation methods,they were divided into FNS group(n=30)and CCS group(n=30).FNS was used in the FNS group,and CCS was used in the CCS group.The perioperative indicators,treatment efficiency and complication rate were compared between the two groups.Result:There were no significant differences in operation time and hospital stay between the two groups(P>0.05).The times of fluoroscopy observation in the FNS group was less than that in the CCS group,and the time of fracture healing was shorter than that in the CCS group,the differences were statistically significant(P<0.05).The excellent and good rate of the FNS group was 90.00%,which was higher than 66.67%of the CCS group(P<0.05).The complication rate of the FNS group was 6.67%,which was lower than 26.67%of the CCS group(P<0.05).Conclusion:Both FNS and CCS can effectively treat femoral neck fracture.Compared with CCS,FNS has more obvious advantages,which can effectively reduce the times of fluoroscopy observation during operation,shorten the time of fracture healing,and promote the recovery of hip joint function.Moreover,the incidence of postoperative complications is low,safe and reliable,and it is worth popularizing and applying.