股骨颈骨折的固定。冯·巴尔螺钉、古丰螺钉和赫塞尔销钉的前瞻性比较。

Fixation of femoral neck fracture. Prospective comparison of von Bahr screws, Gouffon screws, and Hessel pins.

作者信息

Lindequist S, Malmqvist B, Ullmark G

机构信息

Karolinska Institute, Department of Orthopedics, Huddinge Hospital, Gävle, Sweden.

出版信息

Acta Orthop Scand. 1989 Jun;60(3):293-8. doi: 10.3109/17453678909149280.

DOI:10.3109/17453678909149280

PMID:2750502

Abstract

We report a prospective study of 214 patients with femoral neck fractures operated on with multiple pinning. The fractures were randomly allocated to fixation with either von Bahr screws or Hessel pins in 1983 and 1984 or von Bahr or Gouffon screws in 1984 and 1985. After 2 years, the failure rate was one third in the von Bahr and the Gouffon screw groups and one half in the Hessel pin group. We conclude that the nonthreaded Hessel pin is inferior to the von Bahr and Gouffon screws for fixation of femoral neck fractures.

摘要

我们报告了一项对214例采用多根钢针固定治疗股骨颈骨折患者的前瞻性研究。在1983年和1984年，骨折患者被随机分配使用冯·巴尔螺钉或赫塞尔钢针进行固定，在1984年和1985年则是使用冯·巴尔螺钉或古丰螺钉。两年后，冯·巴尔螺钉组和古丰螺钉组的失败率为三分之一，而赫塞尔钢针组为二分之一。我们得出结论，对于股骨颈骨折的固定，无螺纹的赫塞尔钢针不如冯·巴尔螺钉和古丰螺钉。