[1]贺延雷,李 强,李国良.“F”形空心钉与空心螺钉内固定治疗股骨颈骨折对比观察[J].医学信息,2020,33(08):113-115.[doi:10.3969/j.issn.1006-1959.2020.08.035]
　HE Yan-lei,LI Qiang,LI Guo-liang.Comparison of the Effect of"F"Shaped Hollow nail and Hollow Screw Internal Fixation on Femoral Neck Fracture[J].Medical Information,2020,33(08):113-115.[doi:10.3969/j.issn.1006-1959.2020.08.035]
点击复制

“F”形空心钉与空心螺钉内固定治疗股骨颈骨折对比观察()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年08期
页码:
113-115
栏目:
临床研究
出版日期:
2020-04-15

文章信息/Info

Title:
Comparison of the Effect of"F"Shaped Hollow nail and Hollow Screw Internal Fixation on Femoral Neck Fracture
文章编号:
1006-1959（2020）08-0113-03
作者:
贺延雷; 李 强; 李国良
（天津市宁河区医院骨科，天津 301500）
Author(s):
HE Yan-lei; LI Qiang; LI Guo-liang
(Department of Orthopedics,Ninghe District Hospital,Tianjin 301500,China)
关键词:
股骨颈骨折; “F”形空心钉; 空心螺钉固定; 髋关节功能
Keywords:
Femoral neck fracture; "F" shaped hollow nail; Hollow screw fixation; Hip joint function
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2020.08.035
文献标志码:
A
摘要:
目的 探讨股骨颈骨折患者采用“F”形空心钉技术与传统空心螺钉固定治疗的效果。方法 选择2017年1月~2018年12月我院接收的89例股骨颈骨折患者作为研究对象，根据布钉方式不同将其分为对照组（43例）及实验组（46例），对照组给予传统空心螺钉固定技术（正三角形固定）治疗，实验组给予“F”形空心钉技术治疗。比较两组骨折不愈合、固定失效、坏死、股骨颈短缩移位等不良结局、手术指标（手术时间、术中出血量、C型臂透视时间、骨折愈合时间、内固定后开始负重时间、住院时间）、复位指数及髋关节功能情况。结果 实验组手术时间、术中出血量、C型臂透视时间、骨折愈合时间、内固定后开始负重时间、住院时间分别为（47.65±5.52）min、（23.52±7.50）ml、（21.03±10.14）s、（100.65±10.69）d、（2.11±0.98）个月、（7.59±2.02）d，均低于对照组的（60.32±6.32）min、（30.36±9.40）ml、（28.74±11.16）s、（116.32±12.31）d、（3.12±1.03）个月、（9.36±2.32）d，差异均有统计学意义（P＜0.05）；实验组术后不良结局发生率（23.91%）低于对照组（44.17%），且髋关节功能恢复优良率（95.65%）高于对照组（79.07%），差异有统计学意义（P＜0.05）；实验组骨折复位情况优于对照组，差异有统计学意义（P＜0.05）。结论 “F”形空心钉技术治疗股骨颈骨折效果较好，不仅可降低股骨颈短缩移位发生率，促进患者术后骨折愈合，减少不良结局的发生，还能促进髋关节功能恢复及骨折复位。
Abstract:
Objective To investigate the effect of "F"shaped hollow nail technique and traditional hollow screw fixation in patients with femoral neck fracture.Methods A total of 89 patients with femoral neck fractures received in our hospital from January 2017 to December 2018 were selected as the research object, and they were divided into a control group (43 cases) and an experimental group (46 cases) according to different cloth nailing methods. The control group was treated with traditional cannulated screw fixation technique (positive triangle fixation), and the experimental group was treated with "F"shaped hollow nail technique. Comparison of adverse outcomes such as fracture nonunion, fixation failure, necrosis, femoral neck shortening and displacement, surgical indicators (surgery time, intraoperative blood loss, C-arm fluoroscopy time, fracture healing time, time to start weight bearing after internal fixation,hospitalization time), reduction index and hip joint function.Results In the experimental group, the operation time, intraoperative blood loss, C-arm fluoroscopy time, fracture healing time, weight-bearing time after internal fixation, and hospitalization time were (47.65±5.52) min, (23.52±7.50) ml, (21.03±10.14) s, (100.65±10.69) d, (2.11±0.98) months, (7.59±2.02) d, all were lower than (60.32±6.32) min, (30.36±9.40) ml, (28.74±11.16) s, (116.32±12.31) d, (3.12±1.03) months, (9.36±2.32) d of the control group, the difference were statistically significant (P<0.05); the incidence of adverse outcomes in the experimental group (23.91%) was lower than that in the control group (44.17%), and the excellent rate of hip joint function recovery (95.65%) was higher than that in the control group (79.07%),the difference was statistically significant (P<0.05); the fracture reduction of the experimental group was better than the control group,the difference was statistically significant (P<0.05).Conclusion The"F"shaped hollow nail technique is effective in treating femoral neck fractures. It not only reduces the incidence of femoral neck shortening and displacement, promotes postoperative fracture healing, reduces the occurrence of adverse outcomes, but also promotes hip function recovery and fracture reset.

参考文献/References:

[1]张银光,戚浩天.展嵌插型股骨颈骨折的分型及治疗进展[J].武警医学,2018,29(10):925-928,934.[2]李百通,周天翼,刘振,等.老年股骨颈骨折GardenⅡ型治疗方案的选择策略与进展[J].中国组织工程研究,2017,19(4):315-318.[3]马超,王文波.空心螺钉治疗股骨颈骨折的研究进展[J].创伤外科杂志,2018,20(4):312-315.[4]吴江红,周潘宇,许硕贵.股骨颈骨折空心螺钉内固定术的现状及进展[J].中国医刊,2017,52(9):31-36.[5]刘祥,方红育,黄涛,等.股骨颈骨折空心螺钉治疗失败因素的Meta分析[J].中华关节外科杂志,2018,12(4):73-82.[6]张月雷,张保焜,李坛珠,等.颈垂角与空心螺钉内固定治疗股骨颈骨折远期预后的相关性研究[J].中华创伤骨科杂志,2018,20(7):572-577.[7]王建,冉建,刘修信,等.空心钉“F"技术与倒三角形方式布钉治疗股骨颈骨折的疗效比较[J].中国矫形外科杂志,2016,24(24):2242-2246.[8]许景红,汤志辉,毛成鹏,等.“F”形空心钉内固定技术治疗股骨颈骨折的有限元分析[J].实用骨科杂志,2018,24(6):516-518.

相似文献/References:

[1]王添兴,李国庆,汪 洋,等.空心加压螺钉与动力髋螺钉治疗股骨颈骨折术后股骨头坏死相关并发症的Meta分析[J].医学信息,2019,32(02):83.[doi:10.3969/j.issn.1006-1959.2019.02.024]
　WANG Tian-xing,LI Guo-qing,WANG Yang,et al.Meta-analysis of Complications Associated with Hollow Compression Screws and Dynamic Hip Screws in the Treatment of Femoral Head Necrosis after Femoral Neck Fracture[J].Medical Information,2019,32(08):83.[doi:10.3969/j.issn.1006-1959.2019.02.024]
[2]谢北琼.延续性护理对股骨颈骨折患者术后关节功能恢复和并发症的影响[J].医学信息,2022,35(10):190.[doi:10.3969/j.issn.1006-1959.2022.10.050]
　XIE Bei-qiong.Effect of Continuous Nursing on Postoperative Joint Function Recovery and Complications in Patients with Femoral Neck Fracture[J].Medical Information,2022,35(08):190.[doi:10.3969/j.issn.1006-1959.2022.10.050]
[3]杨书娇.早期康复护理对股骨颈骨折患者全髋关节置换术后功能恢复的影响[J].医学信息,2018,31(22):184.[doi:10.3969/j.issn.1006-1959.2018.22.056]
　YANG Shu-jiao.Effect of Early Rehabilitation Nursing on Functional Recovery after Total Hip Arthroplasty in Patients with Femoral Neck Fracture[J].Medical Information,2018,31(08):184.[doi:10.3969/j.issn.1006-1959.2018.22.056]
[4]吴 严,李海波,苟永胜.股骨颈骨折后股骨头坏死的相关因素分析[J].医学信息,2019,32(07):115.[doi:10.3969/j.issn.1006-1959.2019.07.034]
　WU Yan,LI Hai-bo,GOU Yong-sheng.Analysis of Related Factors of Femoral Head Necrosis After Femoral Neck Fracture[J].Medical Information,2019,32(08):115.[doi:10.3969/j.issn.1006-1959.2019.07.034]
[5]龙 雨.股骨颈骨折的内固定手术治疗研究[J].医学信息,2019,32(15):42.[doi:10.3969/j.issn.1006-1959.2019.15.014]
　LONG Yu.Research on Internal Fixation Surgery for Femoral Neck Fracture[J].Medical Information,2019,32(08):42.[doi:10.3969/j.issn.1006-1959.2019.15.014]
[6]刘冠虹,吉万波,刘锦涛,等.股密葆干预治疗肾虚血瘀型股骨颈骨折的疗效[J].医学信息,2019,32(18):63.[doi:10.3969/j.issn.1006-1959.2019.18.020]
　LIU Guan-hong,JI Wan-bo,LIU Jin-tao,et al.Therapeutic Effect of Femoral Hernia on the Treatment of Femoral Neck Fracture with Kidney Deficiency and Blood Stasis[J].Medical Information,2019,32(08):63.[doi:10.3969/j.issn.1006-1959.2019.18.020]
[7]张 彬,湛梅圣,冯硝刚,等.空心钉联合内侧支撑钢板固定治疗青壮年GardenⅢ、Ⅳ型 股骨颈骨折的疗效[J].医学信息,2019,32(12):176.[doi:10.3969/j.issn.1006-1959.2019.12.060]
　ZHANG Bin,ZHAN Mei-sheng,FENG Xiao-gang,et al.Treatment of Garden III and IV Femoral Neck Fractures in Young Adults with Cannulated Screws Combined with Medial Support Plate Fixation[J].Medical Information,2019,32(08):176.[doi:10.3969/j.issn.1006-1959.2019.12.060]
[8]万文辉,高正凡,康邹华,等.3D打印导航模板在股骨颈骨折辅助置钉中的应用研究[J].医学信息,2021,34(21):125.[doi:10.3969/j.issn.1006-1959.2021.21.034]
　WAN Wen-hui,GAO Zheng-fan,KANG Zou-hua,et al.Application of 3D Printing Navigation Template in Auxiliary Screw Placement of Femoral Neck Fracture[J].Medical Information,2021,34(08):125.[doi:10.3969/j.issn.1006-1959.2021.21.034]
[9]张依琳.多层螺旋CT三维成像与X线检查在股骨颈骨折分型鉴别诊断中的应用价值[J].医学信息,2023,36(19):102.[doi:10.3969/j.issn.1006-1959.2023.19.021]
　ZHANG Yi-lin.Value of Multi-slice Spiral CT Three-dimensional Imaging and X-ray Examination in Differential Diagnosis of Femoral Neck Fracture[J].Medical Information,2023,36(08):102.[doi:10.3969/j.issn.1006-1959.2023.19.021]
[10]杨建水.直接前侧入路空心钉联合钢板治疗GardenⅣ型股骨颈骨折的疗效[J].医学信息,2020,33(06):112.[doi:10.3969/j.issn.1006-1959.2020.06.034]
　YANG Jian-shui.Curative Effect of Direct Anterior Approach Hollow Nail Combined with Steel Plate on Garden IV Femoral Neck Fractures[J].Medical Information,2020,33(08):112.[doi:10.3969/j.issn.1006-1959.2020.06.034]

更新日期/Last Update: 2020-04-15