doi:10．3969/j．issn．1008-0287．2023．03．025·临床论著·两种固定方法治疗股骨颈骨折的疗效比较张红新，张羽，古雪建，白晓亮摘要:目的比较股骨颈动力交叉钉系统(FNS)和空心螺钉固定治疗股骨颈骨折的疗效。方法将30例股骨颈骨折患者根据随机数字表法分为FNS组和空心螺钉组，各15例。记录两组手术时间、术中透视次数、骨折愈合时间及并发症发生情况，根据髋关节Harris评分评估疗效。结果患者均获得随访，时间12～48个月。手术时间、术中透视次数FNS组短(少)于空心螺钉组(P＜0.05)。骨折愈合时间、股骨颈短缩和股骨头坏死发生率、末次随访时髋关节Harris评分两组比较差异均无统计学意义(P＞0.05)。结论与空心螺钉固定相比，FNS固定治疗股骨颈骨折具有手术时间短、术中透视次数少的优点。关键词:空心螺钉;骨折内固定;股骨颈骨折;闭合复位中图分类号:Ｒ683.42;Ｒ687.32文献标识码:A文章编号:1008－0287(2023)03－0383－04EfficacycomparisonoftwokindsoffixationmethodsfortreatmentoffemoralneckfracturesZHANGHong-xin，ZHANGYu，GUXue-jian，BAIXiao-liang(SectionⅤ，DeptofOrthopaedics，theFirstCentralHospitalofBaodingCity，Baoding，Hebei071000，China)Abstract:ObjectiveTocomparetheeffectofdynamiccrossingfemoralnecksystem(FNS)andcannulatedscrewfixationinthetreatmentoffemoralneckfracture．MethodsThirtypatientswithfemoralneckfractureswererandomlydividedintoFNSgroupandcannulatedscrewgroup，with15casesineachgroup．Theoperationtime，intraoperativefluoroscopytimes，fracturehealingtimeandcomplicationswererecorded．TheefficacywasevaluatedaccordingtotheHarrisscoreofhipjoint．ＲesultsAllpatientswerefollowedupfor12～48months．Operativetime，intraoperativeflu-oroscopytimesoftheFNSgroupwereshorter(less)thanthoseofthecannulatedscrewgroup(P＜0.05)．Therewerenosignificantdifferencesinfracturehealingtime，theincidencerateoffemoralneckshorteningandfemoralheadnec-rosis，andHarrisscoresofthehipsofthelastfollow-upbetweenthetwogroups(P＞0.05)．ConclusionsComparedwithcannulatedscrewfixation，FNSfixationhastheadvantagesofshorteroperationtimeandfewerintraoperativefluo-roscopytimesforfemoralneckfractures．Keywords:cannulatedscrew;fractureinternalfixation;femoralneck...
