股骨近端空心锁定板内固定治疗股骨颈骨折临床疗效观察

目的：：研究股骨近端空心锁定板内固定治疗股骨颈骨折的临床效果。方法：对2008年2月至2010年4月我院入院治疗的108例股骨颈骨折患者进行了研究，随机分为两组，对照组给与空心钉进行治疗，观察组采用股骨近端空心锁定板内固定治疗，比较两组治疗方案的手术时间、出血量、住院时间以及下床时间，比较两组治疗方案的手术并发症发生率，并比较两组患者三年期临床疗效。结果：观察组患者手术出血量明显少于对照组，手术时间、住院时间以及下床时间明显短于对照组，两组比较差异明显，有统计学意义( P<0.05)；两组患者手术并发症均以疼痛、骨不连以及感染为主，其中观察组上述并发症的发生率为13.0％，明显低于对照组33.3％，两组比较差异有统计学意义( P<0.05)；观察组患者三年临床总有效率为79.6％，对照组患者三年期临床总有效率为51.9％，两组比较差异明显，有统计学意义( P<0.05)。结论：股骨近端空心锁定板内固定治疗股骨颈骨折临床效果显著，可以明显缩短手术时间以及住院时间，降低手术并发症，并且三年临床总有效率更高，值得临床推广应用。

Clinical Observation on Hollow Proximal Femoral Locking Plate Internal Fixation for Femoral Neck Fractures

Objective:To study the clinical effect of hollow proximal femoral locking plate internal fixa-tion for femoral neck fractures treatment. Methods:108 patients with femoral neck fractures from Feb. 2008 to Apr. 2010 were randomly divided into treatment group and control group, the patients in control group were treated with cannulated screw fixation treatment, the patients in treatment group was received with hollow prox-imal femoral locking plate internal fixation. The operation time, blood loss, hospital stay, bed time and com-plication were measured and the clinical effect in 3 years was compared. Results: The operation time, blood loss, hospital stay and bed time of treatment group were less than those in control group. The differences were statistically significant( P<0.05);the complication in the two groups were pain, bone nonunion and infection, the rate in the treatment was 13.0%, while 33.3%in the control, the total effective rate of treatment group was 79.6%, and the rate of control group was 51.9%. the differences were statistically significant between the two groups(P<0.05). Conclusion: The hollow proximal femoral locking plate internal fixation shows satisfactory clinical efficacy in the treatment of femoral neck fractures, the operation time and the hospital stay were less than control group, the complication was lower, and it was worthy of clinical use.