FNS和DHS内固定治疗对股骨颈骨折患者术后近期恢复和并发症的影响

Impact of FNS and DHS Internal Fixation Treatment on Short-term Postoperative Recovery and Complications in Patients with Femoral Neck Fracture

目的:探讨股骨颈动力交叉钉系统(femoral neck system,FNS)和动力髋螺钉(dynamic hip screw,DHS)内固定治疗对股骨颈骨折患者术后近期恢复和并发症的影响。方法:选取2018年3月—2022年3月佛山市第五人民医院骨科收治的68例股骨颈骨折患者作为研究对象,采用简单随机分组法将患者分为FNS组(n=34)和DHS组(n=34)。FNS组采用FNS内固定进行治疗,DHS组采用DHS内固定治疗。比较两组围手术期相关指标(手术时间、术中出血量、住院时间)、术后近期恢复情况[骨折愈合时间、Harris髋关节功能评分(Harris hip score,HSS)]及术后并发症发生情况。结果:FNS组手术时间、骨折愈合时间优于DHS组,且术后3个月HHS评分高于DHS组,并发症发生率低于DHS组,差异有统计学意义(P<0.05);但两组术中出血量、住院时间比较,差异无统计学意义(P>0.05)。结论:FNS应用于股骨颈骨折患者中的效果优于DHS,其能更好地促进术后近期恢复,且有效降低了术后并发症发生率。

Objective:To investigate the impact of femoral neck system(FNS)and dynamic hip screw(DHS)internal fixation on the short-term postoperative recovery and complications in patients with femoral neck fractures.Method:A total of 68 patients with femoral neck fracture who admitted to the Fifth People's Hospital of Foshan City from March 2018 to March 2022 were selected and randomly divided into DNS group(n=34)and DHS group(n=34)by simple random grouping.FNS group was treated with FNS internal fixation,DHS group was treated with DHS internal fixation.The perioperative related indicators(surgical time,intraoperative bleeding,hospital stay),recent postoperative recovery[fracture healing time,Harris hip score(HSS)]and postoperative complications between two groups were compared.Result:The operation time and fracture healing time of FNS group were better than those of DHS group,and the HHS score at 3 months after operation was higher than that of DHS group,and the incidence of complications was lower than that of DHS group,the differences were statistically significant(P<0.05).However,there were no significant differences in intraoperative blood loss and hospitalization time between the two groups(P>0.05).Conclusion:The effect of FNS in patients with femoral neck fracture is better than that of DHS,which can better promote the recent recovery after operation and effectively reduce the incidence of postoperative complications.