髓内钉固定系统与倒三角形空心螺钉治疗股骨颈骨折的效果及骨折愈合情况比较

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Abstract Objective To compare the effect and fracture healing of intramedullary nail fixation and inverted cannulated compression screw (CCS) in the treatment of femoral neck fracture. Methods A total of 85 patients with femoral neck fracture admitted to the Department of Orthopedics, Putian Medical Area of No.900 Hospital of the Joint Logistic Protection Force of the People′s Liberation Army from July 2019 to April 2021 were selected as research objects, they were divided into observation group (43 cases) and control group (42 cases) according to random number table method. Patients in the observation group were treated with inverted CCS, and those in the control group were treated with intramedullary nail fixation. Surgical conditions, fracture healing, hip function, postoperative complications and pain degree were compared between the two groups. Results The operation time, length of hospital stay, length of incision of observation group were shorter than those of the control group, the intraoperative blood loss of observation group was less than that of the control group, and the differences were statistically significant (P<0.05). The fracture healing time and weight-bearing time of observation group were shorter than those of the control group, and the differences were statistically significant (P<0.05). The hip function scores (Harris scores) of observation group were higher than those of the control group at 1, 3 and 6 months after operation, and the differences were statistically significant (P<0.05). The visual analogue scale (VAS) scores at 1, 3 and 6 months were lower than those of the control group, and the differences were statistically significant (P<0.05). The total incidence of postoperative complications in the observation group (6.98%) was lower than that in the control group (23.81%), and the difference was statistically significant (P<0.05). Conclusion Compared with intramedullary nail fixation, inverted CCS can effectively shorten the operation time, reduce intraoperative blood loss, accelerate bone healing, reduce postoperative complications, and promote recovery.

Key words： Intramedullary nail fixation Inverted cannulated compression screw Femoral neck fracture Clinical effect Fracture healing

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	Articles by authors
	LIN Qiyi
	LI Yumao
	XIE Xiaoyong
	CHEN Jinian

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LIN Qiyi,LI Yumao,XIE Xiaoyong, et al. Comparison of the effect of fracture healing of intramedullary nail fixation and inverted cannulated compression screw in the treatment of femoral neck fracture[J]. 中国当代医药, 2022, 29(20): 81-84.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I20/81

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