AO空心钉治疗老年股骨颈骨折临床分析

目的：分析AO空心钉治疗老年新鲜股骨颈骨折的临床疗效。方法：回顾性分析我院2002年2月～2008年2月行AO空心钉治疗的62例老年股骨颈骨折患者的临床资料，从手术时间、出血量、输血量、骨折愈合率、愈合时间、髋关节功能等方面对手术疗效进行评价。结杲：患者平均手术时间为（40．0±16．9）min，平均出血量为（82．0±36．2）mL，无1例输血d术后无坐骨神经损伤和伤口感染。62例随访12～72个月，平均36个月，最终随访时髋关节的Harris评分平均（82．6±5．8）分，优良率达80．6％。结论：AO空心钉内固定治疗老年股骨颈骨折手术时间短，出血少，损伤小，治疗效果好，是老年新鲜股骨颈骨折优先选择的治疗方法之一。

Study on treatment of senile femoral neck fracture with AO cannulated screw

Objective:To evaluate the effect of treatment of fresh femoral neck fractures with AO cannulated screw in elders. Methods:Clinical data of 62 elderly patients with femoral neck fractures who were treated with AO cannulated screw from February 2002 ~ February 2008 were studied retrospectively. The effect was evaluated according to operative time,blood loss,volume of blood transfusion,fracture healing rate,healing time and hip function. Results:Mean operative time was (40.0±16.9) min,mean volume of blood loss was (82.0±36.2) mL,no patient had blood transfusion,the mean follow-up time was 36 months ( 12 ~ 72 months),no sciatic nerve was injuried and no wound infection occurred,the average Harris score of the hip in final follow-up was (82.6±5.8) points,very good and good rate of the hip function was 80.6%. Conclusion:Treatment of fresh femoral neck fractures with AO cannulated screw in elders has advantages of short surgical time,less bleeding,minor injury,and good effect; it may be the preferred choice of treatment.