本文選題：股骨頸骨折 + 空心螺釘�。� 參考：《中國矯形外科雜志》2017年22期

【摘要】：[目的]比較多枚空心螺釘與動力髖螺釘(DHS,Dynamic Hip screw)內(nèi)固定治療股骨頸骨折的療效。[方法]2013年2月~2016年3月共收治67例股骨頸新鮮骨折患者,58例獲得隨訪。其中男24例,女34例;年齡22~65歲,平均43.2歲。多枚空心螺釘固定35例,DHS固定23例。根據(jù)骨折Garden分型,其中空心釘組GardenⅠ型9例,Ⅱ型12例,Ⅲ型10例,Ⅳ型4例;DHS組Ⅰ型2例,Ⅱ型4例,Ⅲ型11例,Ⅳ型6例。記錄手術(shù)時間,術(shù)中出血量,輸血情況,二次手術(shù),并發(fā)癥發(fā)生率,髖關(guān)節(jié)功能Harris評分。[結(jié)果]平均隨訪25.6個月,兩組術(shù)后切口均一期愈合。手術(shù)時間空心釘組平均(39.57±12.96)min,DHS組平均(48.06±13.04)min,出血量空心釘組平均(20.86±25.2)ml,DHS組平均(65.43±37.9)ml,差異均有統(tǒng)計學意義(P0.05)。輸血例數(shù)空心釘組5例,DHS組3例,差異無統(tǒng)計學意義(P0.05)�？招尼斀M骨折愈合時間平均(14.11±6.34)周,DHS組(9.39±1.95)周,差異有統(tǒng)計學意義(P0.05)。末次隨訪空心釘組和DHS組Harris評分分別為(91.2±11.16)分和(95.39±3.07)分,差異無統(tǒng)計學意義。空心釘組有3例(8.57%)股骨頭缺血壞死,1例(2.86%)進行髖關(guān)節(jié)置換。DHS未發(fā)現(xiàn)股骨頭缺血壞死病例�？招尼斀M18例(51.43%)存在股骨頸短縮,其中14例(40%)因螺釘突出不適要求行內(nèi)固定取出;DHS組6例(26.09%)存在輕度股骨頸短縮,無因內(nèi)固定物突出原因要求取出內(nèi)固定者。[結(jié)論]空心釘和DHS治療股骨頸骨折都可獲得較高的骨折愈合率,DHS固定具有骨折愈合快,股骨頸短縮發(fā)生率低,再次手術(shù)率低的優(yōu)點。
[Abstract]:[objective] to compare the efficacy of multiple hollow screws and dynamic Hip screwfixation in the treatment of femoral neck fractures. [methods] A total of 67 cases of fresh fracture of femoral neck were treated from February 2013 to March 2016. 58 cases of fresh fracture of femoral neck were followed up. There were 24 males and 34 females, aged 2265 years, with an average age of 43.2 years. 35 cases were fixed with multiple hollow screws and 23 cases were fixed with DHS. According to the Garden classification of fracture, there were 9 cases of Garden type 鈪，

本文編號：1897072