摘要
目的 分析选用直径8 mm的史塞克空心钉内固定治疗不同股骨头颈部直径的股骨颈骨折的临床疗效。方法 回顾性分析自2008-06—2013-06采用直径8 mm空心钉内固定治疗69例股骨颈骨折,根据股骨颈头颈部直径分为观察组（30~40 mm）和对照组（40~50 mm）。结果 观察组股骨颈头颈部直径大于对照组,2组比较差异有统计学意义（t=6.383,P=0.015）。2组骨折均愈合,骨折愈合时间比较差异无统计学意义（P〉0.05）。观察组优良率94.8%,对照组优良率93.3%,2组优良率比较差异无统计学意义（t=0.355,P=0.552）。结论 本研究结果 显示,排除患者自身因素,以8 mm空心钉内固定治疗不同股骨颈头颈部直径的股骨颈骨折时并不会影响骨折愈合率及愈合的时间。该研究结果 可能有助于节省治疗费用,同时也表明手术中试图获得空心钉与股骨颈宽度的“良好匹配”并不一定会带来良好的临床疗效。
Objective To evaluate the effect of the diameter of the femoral neck on fracture healing rate and the time of healing by using an 8 mm hollow screw for femoral neck fracture fixation. Methods From June 2008 to June 2013, 69 consecutive patients with femoral neck fractures were treated by internal fixation of 8 mm hollow screws. According to the diameter of femoral head and neck, they we~ divided into the observation group （30-40 nun diameter） and the control group （40-50 m.m diameter）. Results The difference of average diameter was statistically significant between the observation group and the control group （t =6.383, P =0.015）, There were no differences between two groups in the fracture healing time and the rate of healing（P 〉0.05）. There were no differences between two groups in the excellent and good rate（the observation group was 94.8%, the control group was 93.3%, t =0.355,P =0.552）. Conclusion According to the results of this study, with the patient＇s own factors eliminated, the 8mm hollow screw to treat the neck fracture is the first choice. The findings could help to save the cost of treatment, at the same time also show that trying to get the hollow nails and femoral neck diameter in the operation of ＂good match＂ does not necessarily bring good clinical efficacy.
出处
《中国骨与关节损伤杂志》
2016年第2期127-129,共3页
Chinese Journal of Bone and Joint Injury
关键词
股骨颈骨折
空心钉
内固定
骨折愈合
Femoral neck fracture
Hollow screw
Internal fixation
Fracture healing
