摘要
目的探讨Gotfried阳性支撑复位联合空心钉内固定技术治疗股骨颈骨折的中期疗效。方法纳入接受空心钉内固定技术治疗的88例股骨颈骨折患者为研究对象，根据患者骨折复位质量将其分为三组，开展回顾性分析。A组均为解剖复位，共33例；B组均为Gotfried阳性支撑复位，共28例；C组均为Gotfried阴性支撑复位，共27例。随访1年，对比三组患者骨折愈合及并发症发生情况、颈短缩情况及髋关节Harris功能评分。结果三组手术时间、术后住院时间、部分负重时间、完全负重时间、骨折愈合时间、股骨头缺血性坏死发生率、退钉发生率及髋内翻发生率比较差异均未见统计学意义（P均〉0.05）；A、B组随访1年时颈短缩程度及髋关节功能明显优于C组，差异有统计学意义（P〈0.05）。结论Gotfried阳性支撑复位联合空心钉内固定治疗股骨颈骨折，对改善髋关节功能、预防颈短缩的效果与解剖复位联合空心钉内固定方案接近，但优于Gotfried阴性支撑复位联合空心钉内固定方案。
Objective To investigate the medium-term clinical efficacy of Gotfried positive buttress reduction combined with cannulated screw fixation on femoral neck fractures.Methods Eighty-eight patients with femoral neck fractures treated by cannulated screw fixation were involved and retrospectively analyzed. Patients were grouped according to the quality of fracture reduction, with 33 cases of anatomic reduction in group A, 28 cases of Gotfried positive buttress reduction in group B, and 27 cases of Gotfried negative buttress reduction in group C. All patients were followed up for 1 year at least; status of fracture healing, complications, neck shortening and Harris score were compared among the three groups.Results The operation time, hospital stay, partial weight bearing time, full weight bearing time, fracture healing time and the incidence of avascular necrosis of femoral head, incidence of bone pin backing and coxavara in the three groups were close （P〉0.05）. The degree of femoral neck shortening and hip function in group A and B were significantly better than those in group C during the 1-year follow-up, the differences were statistically significant （P〈0.05）.Conclusions Gotfried positive buttress reduction combined with cannulated screw fixation in the treatment of femoral neck fracture can improve hip function and prevent femoral neck shortening as anatomic reduction combined with cannulated screw fixation, but has better effect than that of Gotfried negative buttress reduction combined with cannulated screw fixation.
出处
《中国实用医刊》
2017年第21期35-38,共4页
Chinese Journal of Practical Medicine
关键词
股骨颈骨折
内固定
解剖复位
非解剖复位
术后随访
Femoral neck fracture
Internal fixation
Anatomical reduction
Non anatomic reduction
Postoperative follow-up
