股骨近端空心锁定板和空心钉治疗股骨颈骨折的临床疗效分析

目的:分析比较闭合复位后经微创小切口空心钉及股骨近端空心锁定板治疗老年患者股骨颈骨折的疗效。方法:选取本院自2011年3月~2013年6月住院的20例老年股骨颈骨折患者。随机分为股骨近端空心锁定板组10例和空心钉组10例。对比两组疗效(比较手术时间、手术切口长度、术中出血量及术后并发症)并进行评分。结果:股骨近端空心锁定板组治疗优9例、优良率90%。空心钉组治疗优7例、优良率70%。从患者手术时间、手术切口长度及术中出血量来看两组无明显差异。但从术后并发症(空心钉退出、空心钉折断及股骨颈短缩)看股骨近端空心锁定板组优于空心钉组,差异具有统计学意义(P0.05)。结论:股骨近端空心锁定板治疗老年患者股骨颈骨折优于空心钉治疗老年患者股骨颈骨折的疗效。

Clinical Analysis of Femoral Locking Plate and Hollow Nail in the Treatment of Femoral Neck Fractures

Objective： Analyze the effect of mini-invasive incision hollow nails and proximal femoral hol- low locking plate after closed reduction in the treatment of elderly patients with femoral neck fractures. Methods.. Choose 20 cases of elderly patients with femoral neck fracture in the hospital from March 2011 to June 2013. Divide them into hollow locking plate group and hollow nails group. Compare and evaluate the cur- ative effect （from the operation time, the incision length, intraoperative blood loss and postoperative compli- cations）. Results. The excellent rate of hollow locking plate group and hollow nails group were 90% and 70%. No obvious difference were observed between the two groups from the operation time, incision length and bleeding amount. While from the postoperative complications （nailing out, broken of hollow nails and shortening of the femoral neck） prospect, hollow locking plate group was better and the difference was sta- tistically significant （P〈0. 05）. Conclusion： Proximal femoral hollow locking plate is better than mini-inva- sive incision hollow nails in the treatment of elderly patients with femoral neck fracture.