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- Title
急诊闭合复位和切开复位空心钉治疗股骨颈骨折的疗效对比分析.
- Authors
李科; 刘明华; 张雷; 徐世伟; 尹昌林; 任小宝; 向强
- Abstract
Obejective: To study comparison and analysis on emergency closed and open reduction with cannulated screws fixation in femoral neck fractures. Methods: 92 cases with femoral neck fractures from June 2015 to June 2016 period in our hospital were researched, according to the random number table they were divided into observation group (n=46) and control group (n=46). Observation group were treated by open reduction and cannulated screws, control group were used closed reduction and cannulated screws. Two groups of patients with intraoperative, postoperative follow-up situation, Harris hip function score and related complications were compared. Results: Observation group of patients required for operation time, intraoperative blood loss, wound length significantly more than the control group[(61.43± 5.34)min, (30.54± 4.27)mL, (6.43± 0.56)cm VS (46.54± 3.26)min, (16.43 ± 2.43)mL, (1.83± 0.44)cm] (P<0.05). Function Harris hip score of observation group was significantly higher than the control group [82.61% (38/46) VS 50.00%(23/46)](P<0.05). Two groups of patients with fracture healing rate had no significant difference (P>0.05), observation group of femoral head necrosis rate was significantly lower than the control group [2.17% (1/46) VS 13.04% (6/46)](P<0.05).Conclusions: Application of open reduction and hollow nail in the treatment of patients with femoral neck fracture method has more advantages, it has better clinical effects and lower incidence rate of ischemic necrosis in femoral head.
- Publication
Progress in Modern Biomedicine, 2017, Vol 17, Issue 13, p2556
- ISSN
1673-6273
- Publication type
Article
- DOI
10.13241/j.cnki.pmb.2017.13.041