摘要
背景:股骨颈骨折闭合复位与切开复位的关键区别就在于是否切开关节囊,对于这个问题国内外学者抱有不同的意见,目前尚无统一结论。目的:比较切开复位与闭合复位置钉内固定修复中青年移位型股骨颈骨折的复位质量及股骨头坏死率。方法:分析2008年6月至2014年6月在贵州省骨科医院创伤科就诊且获得完整随访的102例中青年股骨颈骨折患者的临床资料,根据复位方式分为两组,切开复位组39例,闭合复位组63例。对比两组患者的一般资料、治疗后骨折愈合情况、股骨头坏死率及复位质量。结果与结论:两组患者的一般资料、治疗前后血红蛋白差值、骨折愈合时间及骨折不愈合率相比,差异均无显著性意义(P>0.05)。切开复位组的股骨头坏死率低于闭合复位组,复位质量高于闭合复位组,差异有显著性意义(P<0.05)。提示切开复位置钉内固定修复中青年移位型股骨颈骨折的股骨头坏死率较低,复位质量好。尽管表明切开复位有一定优势,但病例数量以及病例研究仍有一定限制,应根据患者病情选择合适的复位修复方式。
BACKGROUND：The key difference between closed reduction and open reduction for femoral neck fracture is the incision of joint capsule or not. As for this problem, scholars have different opinions, but there is no unified conclusion. OBJECTIVE：To compare reduction quality and the rate of femoral head necrosis of open reduction and closed reduction in the treatment of femoral neck fracture in middle-aged and young patients with displaced femoral neck fracture. METHODS： Clinical data of 102 middle-aged and young patients with femoral neck fracture, who were treated in the Department of Traumatic Orthopedics, Guizhou Orthopedic Hospital from June 2008 to June 2014, were analyzed. They were folowed up. According to the manner of reduction, they were divided into open reduction group （n=39） and closed reduction group （n=63）. General data, postoperative fracture healing, the rate of femoral head necrosis and reduction quality were compared between the two groups. RESULTS AND CONCLUSION：No significant difference in general information, preoperative and postoperative hemoglobin difference, fracture healing time and fracture nonunion rate was detected between the two groups （P 〉 0.05）. The rate of femoral head necrosis was lower in the open reduction group than in the closed reduction group, but reduction quality was higher in the open reduction group than in the closed reduction group （P 〈 0.05）.nbsp;These results indicate that in the treatment of displaced femoral neck fractures in middle-aged and young patients, postoperative femoral head necrosis rate of open reduction and fixation is low, and the quality of reduction is better. Open reduction has a certain advantage, but the case number and case study have a certain limitation. We should choose the appropriate way of operation treatment according to the patient’s condition.
出处
《中国组织工程研究》
CAS
北大核心
2015年第31期4983-4988,共6页
Chinese Journal of Tissue Engineering Research
