动力锁定钢板与空心松质骨螺钉治疗移位型髋关节囊内骨折的对比研究
Dynamic locking plate vs. cannulated cancellous screw for displaced intracapsular hip fracture: A comparative study.
作者信息
Warschawski Yaniv, Rutenberg Tal Frenkel, Factor Shai, Tudor Adirian, Sharfman Zachary, Morgan Samuel, Lichtenstein Adi, Snir Nimrod
机构信息
Orthopedic Department, Tel Aviv Sourasky Medical Center, Ichilov Hospital, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Orthopedic Department, Rabin Medical Center, Beilinson Hospital, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
出版信息
J Orthop. 2021 Feb 12;24:15-18. doi: 10.1016/j.jor.2021.02.008. eCollection 2021 Mar-Apr.
Abstract
INTRODUCTION
There is no consensus regarding the optimal device for displaced intracapsular hip fractures. This retrospective study compared two techniques (1) cannulated cancellous screw (CCS), and (2) Targon Femoral Neck (TFN) plate.
MATERIALS AND METHODS
Data regarding gender, operational data, complications, pain, Quality of life and function scores were retrieved.
RESULTS
103 patients were included, 42 were treated using CCS, compared to 61 treated using TFN. Operative time shorter for CCS (p = 0.019). Complication rates were not different (p > 0.05).
CONCLUSION
As CCS method take shorter operating time and reduced costs, CCS should be used for the treatment of displaced ICHF.
摘要
引言
对于移位性囊内髋关节骨折的最佳治疗器械尚无共识。本回顾性研究比较了两种技术：（1）空心松质骨螺钉（CCS），和（2）Targon股骨颈（TFN）钢板。
材料与方法
收集有关性别、手术数据、并发症、疼痛、生活质量和功能评分的数据。
结果
纳入103例患者，42例采用CCS治疗，61例采用TFN治疗。CCS的手术时间较短（p = 0.019）。并发症发生率无差异（p > 0.05）。
结论
由于CCS方法手术时间短且成本降低，因此CCS应用于移位性囊内髋关节骨折的治疗。
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2
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Clin Orthop Surg. 2015 Mar;7(1):22-8. doi: 10.4055/cios.2015.7.1.22. Epub 2015 Feb 10.
3
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Targon Femoral Neck for femoral-neck fracture fixation: lessons learnt from a series of one hundred and thirty five consecutive cases.
Int Orthop. 2014 Mar;38(3):595-9. doi: 10.1007/s00264-013-2176-y. Epub 2013 Nov 23.
5
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6
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7
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