Sun Fei, Sun Yu, Li Wei, Tang Zhi, Liu Enxu, Li Zhaoyong, Yang Shaofeng
Department of Orthopedics, Xiangtan Hospital of Traditional Chinese Medicine, Xiangtan, Hunan, China.
Graduate School of Hunan University of Traditional Chinese Medicine, Yuelu District, Changsha, Hunan, China.
Front Surg. 2025 Aug 25;12:1600331. doi: 10.3389/fsurg.2025.1600331. eCollection 2025.
To explore the clinical efficacy of internal fixation of locking compression plate and Cannulated Screw in treatment of elderly femoral neck fractures.
175 patients with femoral neck fractures admitted to our hospital from January 2022 to December 2022 were enrolled in the study. 93 cases in the control group were treated with Cannulated Screw internal fixation, and 82 cases in the observation group were treated with locking plate internal fixation. The control group was treated with cannulated screw internal fixation, while the observation group was treated with locking compression plate internal fixation.
Compared with the control group, the observation group had a significantly shorter time for partial weight-bearing exercise, with a statistically significant difference ( < 0.05), and a significantly lower incidence of postoperative complications, with a statistically significant difference ( < 0.05). The ROM of hip extension-flexion at 1 month and 6 months after operation and the ROM of hip internal rotation-external rotation at 1 month after operation in the observation group were significantly higher than those in the control group, and the differences were statistically significant ( < 0.01). The VAS score of the observation group was significantly lower than that of the control group at 1 month after operation, and the difference was statistically significant ( < 0.01).
Both locking compression plate internal fixation and cannulated screw internal fixation are effective in the treatment of elderly femoral neck fractures. Compared with cannulated screw internal fixation, locking compression plate internal fixation helps patients to engage in early functional exercise and has a lower incidence of postoperative complications.
探讨锁定加压钢板与空心螺钉内固定治疗老年股骨颈骨折的临床疗效。
选取2022年1月至2022年12月我院收治的175例股骨颈骨折患者纳入研究。对照组93例采用空心螺钉内固定治疗，观察组82例采用锁定钢板内固定治疗。对照组采用空心螺钉内固定，观察组采用锁定加压钢板内固定。
与对照组相比，观察组部分负重锻炼时间明显缩短，差异有统计学意义（<0.05），术后并发症发生率明显降低，差异有统计学意义（<0.05）。观察组术后1个月和6个月髋关节屈伸活动度及术后1个月髋关节内旋外旋活动度均明显高于对照组，差异有统计学意义（<0.01）。观察组术后1个月视觉模拟评分（VAS）明显低于对照组，差异有统计学意义（<0.01）。
锁定加压钢板内固定和空心螺钉内固定治疗老年股骨颈骨折均有效。与空心螺钉内固定相比，锁定加压钢板内固定有助于患者早期进行功能锻炼，且术后并发症发生率较低。
