摘要
目的:探讨Gotfried阳性支撑复位结合经皮加压钢板治疗中青年股骨颈骨折对髋关节功能、生物力学及并发症的相关分析。方法:选取2018年10月—2020年3月在攀枝花市中心医院进行治疗的69例中青年例股骨颈骨折患者随机分为解剖组(解剖复位法)、阳性组(Gotfried阳性支撑复位法)及阴性组(Gotfried阴性支撑复位法)并结合经皮加压钢板进行治疗;对三组患者术前基线资料、围术期指标以及术后随访12个月髋关节功能、颈缩短以及并发症作出比较与分析。结果:术前三组患者基线资料,差异无统计学意义(F=0.792、Z=0.813、0.652,F=0.857,P>0.05);围术期指标及术后随访12个月并发症方面三组患者差异无统计学意义(F=0.561、0.961、0.935、0.883,Z=0.796,P>0.05),但是在髋功能harris评分以及颈缩短方面通过随访12个月显示解剖组与阳性组显著优于阴性组,而解剖组与阳性组之间比较,差异无统计学意义(Z=0.819、0.826,P>0.05)。结论:Gotfried阳性支撑复位结合经皮加压钢板治疗中青年股骨颈骨折可有效改善患者髋关节功能、生物力学及并发症,效果与解剖复位相似,但显著优于Gotfried阴性支撑复位。
Objective:To investigate the correlation analysis of hip joint function,biomechanics and complications in the treatment of femoral neck fractures in young and middle-aged adults with Gotfried positive support reduction combined with percutaneous compression plate.Methods:69 young and middle-aged patients with femoral neck fracture were randomly divided into anatomical group(anatomical reduction method),positive group(Gotfried positive support reduction method)and negative group(Gotfried negative support reduction method)and treated by combined with percutaneous compression plate.The preoperative baseline data,perioperative indicators and 12-month follow-up of hip joint function,neck shortening and complications of the three groups of patients were compared and analyzed.Results:There was no statistically significant difference in baseline data of the three groups before operation(F=0792,Z=0.813,0.652,F=0.857,P>0.05).There was no statistically significant difference in perioperative indicators and complications of the three groups in the 12-month follow-up follow-up(F=0.561,0.935,0.883,Z=0.796,P>0.05).The harris score of hip function in terms of neck shortening,a 12-month follow-up showed that the anatomical group and the positive group were significantly better than the negative group,while the comparison between the anatomical group and the positive group was not statistically significant(Z=0.819,0.826,P>0.05).Conclusion:Gotfried positive support reduction combined with percutaneous compression plate treatment of femoral neck fractures in young and middle-aged patients can effectively improve the hip joint function,biomechanics and complications in patients.The effect is similar to anatomical reduction,but it is significantly better than Gotfried negative support reduction.
作者
李林涛
何荣富
王应兵
LI Lin-tao;HE Rong-fu;WANG Ying-bing(Department of Orthopedics,Panzhihua Central Hospital,Panzhihua,Sichuan,617067,China)
出处
《黑龙江医学》
2022年第6期648-651,共4页
Heilongjiang Medical Journal
