年轻成人股骨颈骨折中多枚松质骨螺钉与滑动髋螺钉的比较研究
Comparative study of multiple cancellous screws versus sliding hip screws in femoral neck fractures of young adults.
作者信息
Gupta Mayank, Arya R-K, Kumar Satish, Jain Vijay-Kumar, Sinha Skand, Naik Ananta-Kumar
机构信息
Department of Orthopedics, Post Graduate Institute of Medical Education and Research, Dr Ram Manohar Lohia Hospital, New Delhi 110001, India.
出版信息
Chin J Traumatol. 2016 Aug 1;19(4):209-12. doi: 10.1016/j.cjtee.2015.11.021.
PURPOSE
Both cannulated cancellous screw (CCS) and sliding hip screw (SHS) are used in femoral neck fracture fixations, but which is superior is yet to be determined. This study was aimed to compare the clinicoradiological outcome of femoral neck fracture treated with SHS or CCS in young adults.
METHODS
Adults (16e60 years) with femoral neck fracture were divided into Group 1 fixed with SHS and Group 2 fixed with three CCS after closed reduction. Pain relief, functional recovery and postoperative radiographs at 6 weeks, 3 months, 6 months and then yearly for upto 4 years were analyzed.
RESULTS
Group 1 (n=40) achieved radiological union at mean of 7.6 months, with the union rate of 87.5% (n=35), avascular necrosis (AVN) rate of 7.5% (n=3) and mean Harris Hip Score (HHS) of 86.15 at the end of 4 years. In Group 2 (n=45) these parameters were union at 7.1 months, union rate of 82.22% (n=37), AVN rate of 6.67% (n=3) and HHS of 88.65. Comparative results were statistically insignificant.
CONCLUSION
There is no significant difference in clinicoradiological outcome between the two implants.
目的
空心松质骨螺钉（CCS）和动力髋螺钉（SHS）均用于股骨颈骨折固定，但哪种更具优势尚待确定。本研究旨在比较SHS或CCS治疗青年成人股骨颈骨折的临床影像学结果。
方法
将股骨颈骨折的成人患者（16至60岁）分为两组，一组采用SHS固定（第1组），另一组在闭合复位后采用3枚CCS固定（第2组）。分析6周、3个月、6个月时以及之后每年直至4年的疼痛缓解情况、功能恢复情况及术后X线片。
结果
第1组（n = 40）平均在7.6个月时实现影像学骨愈合，骨愈合率为87.5%（n = 35），无血管坏死（AVN）率为7.5%（n = 3），4年末的平均Harris髋关节评分（HHS）为86.15。第2组（n = 45）的这些参数分别为：在7.1个月时骨愈合，骨愈合率为82.22%（n = 37），AVN率为6.67%（n = 3），HHS为88.65。比较结果无统计学意义。
结论
两种植入物的临床影像学结果无显著差异。
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