摘要
目的探讨改良经皮空心螺钉内固定微创手术治疗老年GardenⅡ和Ⅲ型股骨颈骨折的临床疗效。方法选取2013年1月至2019年12月厦门市中医院收治的55例GardenⅡ和Ⅲ型老年股骨颈骨折患者作为研究对象,根据手术方法的不同分为常规组(n=29)与改良组(n=26)。常规组采用常规经皮空心螺钉内固定治疗,改良组采用改良经皮空心螺钉内固定治疗。比较两组手术时间、术中出血量、住院时间、短期髋关节Harris功能评分及中期疗效。结果两组住院时间、中期疗效比较差异无统计学意义;改良组手术时间短于常规组,术中出血量少于常规组,术后6个月Harris功能评分高于常规组,差异有统计学意义(P<0.05)。结论常规经皮空心螺钉与改良经皮空心螺钉内固定治疗老年GardenⅡ和Ⅲ型股骨颈骨折中期随访疗效均满意,但改良经皮空心螺钉内固定治疗的手术时间短、出血量少,且短期随访疗效更佳。
Objective To explore the clinical efficacy of modified percutaneous cannulated screw internal fixation minimally invasive surgery in the treatment of elderly patients with Garden typeⅡandⅢfemoral neck fractures.Methods 55 elderly patients with Garden typeⅡandⅢfemoral neck fractures admitted to Xiamen Hospital of Traditional Chinese Medicine from January 2013 to December 2019 were selected as the research subjects,and they were divided into the conventional group(n=29)and the modified group(n=26)according to different surgical methods.The conventional group was treated with conventional percutaneous cannulated screw internal fixation,while the modified group was treated with modified percutaneous cannulated screw internal fixation.The operation time,intraoperative blood loss,hospital stay,short-term Harris function score of the hip joint and mid-term therapeutic effect were compared between the two groups.Results There was no statistically significant difference in the length of hospital stay and mid-term therapeutic effect between the two groups;the operation time in the modified group was shorter than that in the conventional group,the intraoperative blood loss was less than that in the conventional group,and the Harris functional score 6 months after the operation was higher than that in the conventional group,and the differences were statistically significant(P<0.05).Conclusion The mid-term follow-up of conventional and modified percutaneous cannulated screw internal fixation in the treatment of GardenⅡandⅢelderly femoral neck fracture is satisfactory,but the treatment of modified percutaneous cannulated screws internal fixation had shorter operation time,less blood loss,and better short-term follow-up effect.
作者
周毅强
许恺
林蔚莘
颜志文
何炜
张建新
ZHOU Yiqiang;XU Kai;LIN Weishen;YAN Zhiwen;HE Wei;ZHANG Jianxin(Deparment of Orthopaedic,Xiamen Hospital of Traditional Chinese Medicine,Xiamen,Fujian,361009,China)
出处
《当代医学》
2025年第7期6-10,共5页
Contemporary Medicine
关键词
股骨颈骨折
空心螺钉
老年人
临床疗效
Femoral neck fractures
Cannulated screw
Aged
Clinical efficacy
