复位质量对中青年股骨颈骨折经闭合复位空心螺钉内固定治疗效果的影响.docVIP

复位质量对中青年股骨颈骨折经闭合复位空心螺钉内固定治疗效果的影响 蒋海涛 卢海源 左文山 徐勇 蔡伟 江苏淮安市第一人民医院 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的:研究复位质量对中青年股骨颈骨折经闭合复位空心螺钉内固定治疗效果的影响。方法:回顾性分析我院收治的86例股骨颈骨折中青年患者临床资料, 所有患者均行闭合复位空心螺钉内固定治疗, 术后根据Garden对线指数分级对患者复位质量进行评价, 其中III级59例设置为A组, IIIIV级27例设置为B组, 比较两组患者术后骨折不愈合、股骨头缺血性坏死发生率以及Harris髋关节功能评分情况, 比较两组患者术后血清神经元特异性烯醇化酶 (NSE) 、C-反应蛋白 (CRP) 、血清基质金属蛋白酶-9 (MMP-9) 指标水平。结果:A组患者骨折不愈合率为6.78%较B组22.22%显著较低, A组股骨头缺血性坏死率为8.47%较B组25.93%显著较低;A组患者疼痛、功能、畸形、活动范围及Harris总分较B组均显著较高;A组患者术后血清NSE、CRP、MMP-9指标水平较B组显著较低。结论:复位质量是影响股骨颈骨折经闭合复位空心螺钉内固定手术治疗疗效的原因之一, 复位质量越高, 骨折不愈合及股骨头缺血性坏死发生率显著降低, 有利于患者预后。 关键词： 复位质量; 股骨颈骨折; 内固定; 疗效; 作者简介：蔡伟, E-mail:xzmccaiwei@163.com 收稿日期：2017-07-16 Effect of reduction quality on the effects of closed reduction and cannulated screw fixation in young and middle-aged patients withfemoral neck fractures Jiang Hai-tao Lu Hai-yuan Zuo Wen-shan Xu Yong Cai Wei Department of Orthopedics, the First Peoples Hospital of Huaian; Abstract： Objective To study the effect of reduction quality on the effects ofclosed reduction and cannulated screw fixationin young and middle-aged patients with femoral neck fractures. Methods The clinical data of 86 young and middle-aged patients with femoral neck fractures in our hospital were retrospectively analyzed. All patients were treated by closed reduction and cannulated screw fixation. According to the Garden line index grading, the reductionquality was evaluated.59 cases of grade ⅠⅡ were included into group A and 27 cases of grade ⅢⅣ were included into group B. The incidence rates of nonunion, ischemicnecrosis of femoral head, Harris hip scores, levels of serum neuron specific enolase (NSE) , C-reactive protein (CRP) and serum matrix metalloproteinase-9 (MMP-9) were compared between the two groups. Results The incidence rates of nonunion and ischemicnecrosis of femoral head in group A were lower than that in group B (6.78% and 8.47%vs 22.22% and 25.93%) . The pain, function, deformity, ra