动力髋螺钉固定后内侧壁不完整的股骨颈骨折.docVIP

两种内固定治疗后侧皮质不完整股骨颈骨折的疗效比较 侯1( [摘 要] 目的 比较3枚空心钉与08年1 月— 2012年12 月采用3枚空心钉与两组患者性别、年龄、致伤原因、骨折类型术前血红蛋白水平比较，差异均无统计学意义（P 0.05）。两组切口大小、手术时间、术中出血量、输血、住院时间术后患肢负重时间、并发症。术后离床行走及患肢负重时间，两组、率及术后，无 0.05）。所有患者均获1年以上随访，两组随访时间的差异无统计学意义 0.05）。两组骨折愈合时间末次随访差异有统计学意义两组内固定失败率严重并发症率再手术率股骨头缺血性坏死率比较，差异均无统计学意义 0.05）。术后患肢负重早，，COMPARISON OF FEMORAL NECK FRACTURES COMBINATED WITH NON-INTEGRITY OF POSTERIOR CORTEX WITH DYNAMIC HIP SCREWS AND ANTIROTATION SCREWS 【Abstract】 Objective To compare the effectiveness of three cannulated screws and dynamic hip screw (DHS) combined with antirotation screw in treating patients with femoral neck fractures combined with non-integrity of posterior cortex. Methods Sixty-seven patients with with femoral neck fractures combined with non-integrity of posterior cortex were treated between January 2008 to December 2012, and their data were analyzed retrospectively. Of them, fractures were fixed by three cannulated screws in 31 cases (cannulated screw group) and by DHS combined with antirotation screw in 36 cases (DHS group). There was no significant difference in gender, age, injury cause, fracture type, preoperative hemoglobin level, or disease duration between 2 groups (P 0.05). The incision size, operation time, blood loss, blood transfusion rate, postoperative hospital stay, fracture healing time, complications, and functional outcomes were compared between 2 groups to evaluate the effectiveness. Results When compared with the cannulated screw group, the incision length is significantly larger, and postoperative walking time and weight-bearing?time are significantly less in the DHS group (P 0.05). The differences in operation time, blood loss, blood transfusion rate and postoperative hospital stay between two groups are not significant (P 0.05). All patients were followed up more than one year, and the follow-up time shows no significant difference between two groups (P 0.05). When compared with the cannulated screw group, the fracture healing tim