[1]吴聪,阮鹏飞,邵威捷,等.直接前侧入路切开复位内固定治疗青壮年股骨颈骨折20例[J].中国中医骨伤科杂志,2023,31(04):69-72.[doi:10.20085/j.cnki.issn1005-0205.230414 ]
　WU Cong,RUAN Pengfei,SHAO Weijie,et al.Direct Anterior Approach for Open Reduction and Internal Fixation on the Treatment of Femoral Neck Fractures in 20 Cases Young and Middle-Aged Patients[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(04):69-72.[doi:10.20085/j.cnki.issn1005-0205.230414 ]
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直接前侧入路切开复位内固定治疗青壮年股骨颈骨折20例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年04期
页码:
69-72
栏目:
临床报道
出版日期:
2023-04-15

文章信息/Info

Title:
Direct Anterior Approach for Open Reduction and Internal Fixation on the Treatment of Femoral Neck Fractures in 20 Cases Young and Middle-Aged Patients
文章编号:
1005-0205(2023)04-0069-04
作者:
吴聪1; 阮鹏飞1; 邵威捷1; 沈景1; 季卫锋1△
1浙江中医药大学附属第一医院(杭州,310053)
Author(s):
WU Cong1; RUAN Pengfei1; SHAO Weijie1; SHEN Jing1; JI Weifeng1△
1 The First Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310053,China.
关键词:
股骨颈骨折;  青壮年患者;  直接前方入路;  切开复位;  内固定
Keywords:
femoral neck fracture;  young and middle-aged patients;  direct anterior approach;  open reduction;  internal fixation
分类号:
R683.42
DOI:
10.20085/j.cnki.issn1005-0205.230414
文献标志码:
B
摘要:
目的:探讨直接前侧入路(DAA)切开复位内固定治疗青壮年股骨颈骨折的治疗效果。方法:回顾性分析2017年1月至 2020年 12月行股骨颈骨折内固定手术治疗的青壮年患者42例病例,按治疗方法不同分为两组:直接前侧入路组20例采用直接前侧入路直视下复位骨折,经皮空心钉内固定; 闭合复位组22例采用传统闭合复位空心钉内固定。结果:两组一般资料差异无统计学意义(P>0.05),具有可比性。闭合复位组在手术时间((75.05±7.280)min)和出血量((55.35±15.989)mL)方面优于直接前侧入路组(分别为(102.41±17.866)min和(123.50±35.525)mL)(P<0.001)。术后Garden复位指数直接前侧入路组优于闭合复位组(P=0.033); 术后3个月和12个月Harris评分优良率闭合复位组低于直接前侧入路组(P=0.030,P=0.031)。2年内直接前侧入路组股骨头坏死率低于闭合复位组(P=0.028),两组骨折不愈合率差异无统计学意义(P=0.179)。结论:股骨颈骨折采用直接前侧入路切开复位内固定治疗可在直视下完成骨折复位,术中创伤小,复位效果好,有利于患者的肢体功能恢复及减少术后并发症。
Abstract:
Objective:To explore the efficacy of direct anterior approach(DAA)for open reduction and internal fixation on the treatment of femoral neck fractures in young and middle-aged patients.Methods:A retrospective analysis was conducted on 42 cases young and middle-aged patients who underwent internal fixation for femoral neck fracture from January 2017 to December 2020.We divided them into two groups according to different treatment methods,one of which was DAA group and the other group was closed reduction group.In the DAA group,there are 20 cases,20 patients were treated with direct anterior approach,reduction under direct vision,and percutaneous cannulated screws internal fixation.In the closed reduction group,there are 22 cases,22 patients were treated with traditional closed reduction and cannulated screw internal fixation.Results:There was no statistically significant difference in general data between the two groups(P>0.05).The operation time and intraoperative blood loss in the closed reduction group((75.05±7.280)min,(55.35±15.989)mL)were less than those in the DAA group((102.41±17.866)min,(123.50±35.525)mL)(P<0.001).DAA group had better Garden reduction index than closed reduction group(P=0.033).The excellent and good rate of Harris score at 3 and 12 months after operation in closed reduction group was lower than that in DAA group(P=0.030,P=0.031).The rate of femoral head osteonecrosis in the DAA group was lower than that in the closed reduction group within 2 years(P=0.028).The fracture nonunion rate between the two groups was no statistical significance(P=0.179).Conclusion:DAA for open reduction and internal fixation for femoral neck fractures can achieve fracture reduction under direct vision,with less intraoperative trauma and good reduction efficacy,promoting the recovery of limb function and reducing postoperative complications.

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备注/Memo

备注/Memo:
△通信作者 E-mail:jiweifeng1230@163.com
更新日期/Last Update: 2023-04-10