微创医学

【摘要】目的比较空心钉锁定钢板与空心钉治疗老年股骨颈骨折的临床疗效。方法48例老年股骨颈骨折患者随机分为A组26例，B组22例，分别采用空心钉锁定钢板与空心钉治疗，记录患者的术口长度、术中出血量、手术时间、末次随访Harris评分。结果患者均获得随访，A组术口长度（5.15±0.91）cm，术中出血量(51.53±9.77)mL，手术时间(53.34±9.37)min，末次随访Harris评分为（82.38±6.39）分；B组术口长度（1.59±0.56）cm，术中出血量(17.32±6.79)mL，手术时间(52.36±10.76)min，末次随访Harris评分为（76.06±5.86）分。两组术口长度、术中出血量、末次随访Harris评分比较，差异有统计学意义（P＜0.05）；手术时间比较，差异无统计学意义（P＞0.05）。结论与空心钉固定相比，空心钉锁定钢板治疗老年股骨颈骨折更为牢固，患肢功能恢复较好。

【Abstract】 ObjectiveTo compare the clinical efficacy between locking plate with cannulated screw and cannulated screw for the treatment of elderly femoral neck fracture. MethodsFortyeight elderly patients with femoral neck fracture were divided into group A (n=26) and group B (n=22) .Group A and group B were treated using locking plate with cannulated screw and cannulated screw respectively. The incision length, intraperative blood loss, operative duration and Harris score at the last followup were recorded. ResultsAll patients were followed up. The incision length, intraoperative blood loss, operative duration and Harris score at the last followup were（5.15±0.91）cm, (51.53±9.77) mL, (53.34±9.37) minutes and（82.38±6.39）points in group A respectively.The incision length, intraoperative blood loss, operative duration and Harris score at the last followup were （1.59±0.56）cm, (17.32±6.79) mL, (52.36±10.76)minutes and（76.06±5.86）points in group B respectively. There were significant differences in the incision length, intraoperative blood loss and Harris score at the last followup between the two groups(P＜0.05). But there was no significant difference in operative duration between the two groups(P＞0.05). ConclusionsCompared to fixation using cannulated screw, locking plate with cannulated screw for the treatment of elderly femoral neck fracture is firmer, and can achieve better functional recovery of affected limb .