空心钉辅助内侧支撑钢板治疗PauwelsⅢ型股骨颈骨折的临床疗效观察

被引：7
|
作者：
吴晓峰
高峰
尹自飞
朱旭日
熊晓扬
徐锋
王建伟
机构：
[1] 昆山市中医医院
来源：
生物骨科材料与临床研究 | 2021年 / 18卷 / 06期
关键词：
股骨颈骨折; PauwelsⅢ型; 空心钉; 内侧支撑钢板;
D O I：
暂无
中图分类号：
R687.3 [骨骼手术];
学科分类号：
摘要：
目的探讨空心钉辅助内侧支撑钢板治疗Pauwels Ⅲ型股骨颈骨折的临床疗效。方法回顾性分析昆山市中医医院2013年5月至2017年5月收治的70例PauwelsⅢ型股骨颈骨折患者,平均随访(62.5±12.9)个月,其中44例患者接受3枚空心钉辅助内侧支撑钢板治疗(A组),26例患者采用单纯3枚空心螺钉治疗(B组)。记录并比较两组手术时间、术中出血量、输血率、骨折愈合时间、髋关节功能评分(Harris评分)、术后并发症(内固定失败、骨折不愈合及股骨头坏死)。结果A组手术时间(85.45±17.16) min长于B组(71.56±15.20) min(P<0.05),A组术中出血量(240.17±22.65) mL多于B组(136.34±20.18) mL (P<0.05),但两组输血率比较差异无统计学意义。A组骨折愈合时间为(17.60±3.48)周,B组骨折愈合时间为(20.92±4.04)周,A组骨折愈合时间小于B组,差异有统计学意义(P<0.05)。术后6个月Harris评分A组(88.09±3.56)分,高于B组的(72.35±4.88)分(P<0.05)。A组无内固定失败,B组发生内固定失败3例,失败率两组差异有统计学意义(P<0.05)。A组1例发生骨不连,B组4例发生骨不连,两组差异有统计学意义(P<0.05)。A组股骨头坏死2例,B组股骨头坏死5例,差异有统计学意义(P<0.05)。结论对于Pauwels Ⅲ型股骨颈骨折,空心钉辅助内侧支撑钢板治疗相对单纯3枚空心钉治疗髋关节功能更佳,术后并发症率更低,降低了股骨头坏死发生率及内固定失败率。
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页码：31 / 35
页数：5
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