摘要
目的:探讨空心加压螺钉治疗股骨颈骨折影响骨愈合的相关因素。方法:对2004年1月至2011年1月采用空心加压螺钉手术治疗的190例股骨颈骨折患者的资料进行回顾性分析,男104例,女86例;年龄21～83岁,平均65岁;按照Garden分型:Ⅰ型25例,Ⅱ型51例,Ⅲ型58例,Ⅳ型56例。外伤至手术时间15h～10d,平均3.5d。将患者性别、年龄、创伤类型、骨折类型、有无骨质疏松、是否急诊手术、骨折的复位质量、是否切开复位与术后骨折不愈合之间的关系进行统计学分析。结果:所有患者获得随访,时间12～84个月,平均38个月。术后伤口均Ⅰ期愈合。有23例出现骨不愈合,不愈合率为12.1%,总愈合率为87.9%。单因素分析结果显示:年龄、骨折类型、创伤类型、骨折复位质量、骨质疏松差异有统计学意义(P<0.05);而在性别、急诊与择期手术、是否切开复位对影响骨不愈合差异无统计学意义(P>0.05)。结论:空心加压螺钉治疗股骨颈骨折疗效好,年龄、骨折类型、创伤类型、骨折复位质量、骨质疏松是影响骨折不愈合的主要因素。
Objective：To explore the relevant factor of cannulated compression screws in treating femoral neck fractures.Methods：From January 2004 to January 2011,190 patients with femoral neck fractures treated by cannulated compression screws were analyzed retrospectively.In all of the 190 cases,there were 104 males and 86 females with an average of 65 years（ranged,21 to 83 years）.According to Garden classification system,25 cases were type Ⅰ,51 cases were type Ⅱ,58 cases were typeⅢ and 56 cases were type Ⅳ.The time from injury to operation was 15 h to 10 d（mean 3.5 d）.The gender,age,trauma type,fracture type,osteoporosis,emergency operation,fracture reduction,relation between open reduction and nonunion were observed and analyzed.Results：All patients were followed up for 12 to 84 months,with a mean of 38 months.All incisions obtained stageⅠhealing.There were 23 patients with bone nonunion.The rate of nonunion was 12.1%.Single factor analysis showed that there were significant differences in age,trauma type,fracture type,fracture reduction and osteoporosis（P〈0.05）,but no meaning in gender,emergency operation,relation between open reduction and nonunion（P〈0.05）.Conclusion：Cannulated compression screws for femoral neck fractures can obtain good outcomes,and age,trauma type,fracture type,fracture reduction and osteoporosis are main factors.
出处
《中国骨伤》
CAS
2012年第12期1040-1044,共5页
China Journal of Orthopaedics and Traumatology
关键词
股骨颈骨折
骨折愈合
因素分析
统计学
Femoral neck fractures
Fracture healing
Factor analysis
statistical
