| F形空心钉与传统3枚平行钉治疗Pauwels Ⅲ型股骨颈骨折的疗效比较 |
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投稿时间：2021-09-24
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| 作者 | Author | 单位 | Address | E-Mail |
| 程文静 |
CHENG Wen-jing |
皖南医学院第一附属医院弋矶山医院创伤骨科, 安徽 芜湖 241000 |
Department of Traumatic Orthopaedics, the First Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui, China |
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| 丁国正 |
DING Guo-zheng |
皖南医学院第一附属医院弋矶山医院创伤骨科, 安徽 芜湖 241000 |
Department of Traumatic Orthopaedics, the First Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui, China |
dingguozheng0039@163.com |
| 谢家兵 |
XIE Jia-bing |
皖南医学院第一附属医院弋矶山医院创伤骨科, 安徽 芜湖 241000 |
Department of Traumatic Orthopaedics, the First Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui, China |
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| 李天霖 |
LI Tian-lin |
皖南医学院第一附属医院弋矶山医院创伤骨科, 安徽 芜湖 241000 |
Department of Traumatic Orthopaedics, the First Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui, China |
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| 张扬 |
ZHANG Yang |
皖南医学院第一附属医院弋矶山医院创伤骨科, 安徽 芜湖 241000 |
Department of Traumatic Orthopaedics, the First Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui, China |
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| 龚延海 |
GONG Yan-hai |
皖南医学院第一附属医院弋矶山医院创伤骨科, 安徽 芜湖 241000 |
Department of Traumatic Orthopaedics, the First Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui, China |
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| 期刊信息：《中国骨伤》2022年，第35卷，第7期，第678-682页 |
| DOI：10.12200/j.issn.1003-0034.2022.07.016 |
| 基金项目: |
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中文摘要:
目的:分析比较"F"形空心钉与传统倒三角3枚平行螺钉内固定治疗青壮年Pauwels Ⅲ型股骨颈骨折的临床疗效。
方法：2017年1月至2020年1月收治Pauwels Ⅲ型股骨颈骨折患者38例，根据置入钉方式的不同将其分为两组，其中A组18例，采用"F"形空心钉固定，男12例，女6例，年龄37~55岁，受伤至手术时间1~3 d。B组20例，采用传统倒三角3枚平行拉力螺钉固定，男12例，女8例，年龄35~55岁，受伤至手术时间为1~3 d。比较两组患者骨折不愈合，股骨头坏死，股骨颈短缩，空心螺钉退出情况，髋关节功能Harris评分，疼痛视觉模拟评分（visual analogue scale，VAS）。
结果：所有患者获得随访，时间为15~31个月。两组患者在骨折不愈合，股骨颈短缩，股骨头坏死方面差异无统计学意义（P>0.05）；两组患者在螺钉退出方面差异有统计学意义（P<0.05）。两组患者术后12个月时髋关节Harris评分及VAS评分差异均无统计学差异（P>0.05）。
结论："F"形与传统倒三角3枚平行空心钉内固定治疗青壮年Pauwels Ⅲ型股骨颈骨折中短期疗效相似，但"F"形空心钉退钉率较低。 |
| 【关键词】股骨颈骨折 骨折固定术,内 骨钉 |
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| Comparison of curative effect between F-shaped hollow screw and traditional three parallel screws in the treatment of Pauwels type Ⅲ femoral neck fracture |
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ABSTRACT
Objective: To analyze and compare the clinical efficacy of F-shaped hollow screw and traditional inverted triangle three parallel screws in the treatment of young and middle-aged Pauwels type Ⅲ femoral neck fracture.
Methods: From January 2017 to January 2020, 38 patients with Pauwels type Ⅲ femoral neck fracture were treated. They were divided into two groups according to different screw placement methods. Among them, 18 patients in group A were fixed with F-shaped hollow screw, including 12 males and 6 females, aged 37 to 55 years, the time from injury to operation was 1 to 3 days. Other 20 cases in group B were fixed with 3 parallel screws in traditional inverted triangle, including 12 males and 8 females, aged 35 to 55 years. The time from injury to operation was 1 to 3 days. The fracture nonunion, femoral head necrosis, femoral neck shortening, hollow screw withdrawal, hip function Harris score and visual analogue scale(VAS) of pain were compared between the two groups.
Results: All patients were followed up for 15 to 31 months. There was no significant difference in fracture nonunion, femoral neck shortening and femoral head necrosis between two groups(P>0.05). There was significant difference in screw withdrawal between two groups(P<0.05). There was no significant difference in hip Harris score and VAS between the two groups at 12 months after operation(P>0.05).
Conclusion: The short-term and medium-term effects of F-shaped and traditional inverted triangle three parallel screws in the treatment of young and middle-aged Pauwels Ⅲ femoral neck fractures are similar, but the nail withdrawal rate of F-shaped hollow screw is low. |
| KEY WORDS Femoral neck fracture Fracture fixation, internal Bone nails |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 程文静,丁国正,谢家兵,李天霖,张扬,龚延海.F形空心钉与传统3枚平行钉治疗Pauwels Ⅲ型股骨颈骨折的疗效比较[J].中国骨伤,2022,35(7):678~682 |
| 英文格式: | CHENG Wen-jing,DING Guo-zheng,XIE Jia-bing,LI Tian-lin,ZHANG Yang,GONG Yan-hai.Comparison of curative effect between F-shaped hollow screw and traditional three parallel screws in the treatment of Pauwels type Ⅲ femoral neck fracture[J].zhongguo gu shang / China J Orthop Trauma ,2022,35(7):678~682 |
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