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首页> 外文期刊>Journal of International Medical Research >Intramedullary nails with cannulated screw fixation for the treatment of unstable femoral neck fractures
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Intramedullary nails with cannulated screw fixation for the treatment of unstable femoral neck fractures

机译：带空心螺钉的髓内钉治疗不稳定型股骨颈骨折

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Objective Unstable femoral neck fractures are typically high-angled shear fractures caused by high-energy trauma. Internal fixation of femoral neck fractures with placement of parallel cannulated screws in an inverted triangle configuration is commonly performed in the clinical setting. This study was performed to investigate the primary results of intramedullary nailing with cannulated screws for the treatment of unstable femoral neck fractures in young and middle-aged patients. Methods In total, 96 consecutive patients with no history of hip surgery using inverted triangular cannulated compression screws or construction nails with cannulated screws were reviewed. Their demographic and radiological data were retrospectively collected from our institutional database. Results Inverted cannulated screws had an excellent effect on decreasing the blood loss volume and incision size, but intramedullary nails exhibited superior advantages in decreasing screw exit and shortening the hospital stays. The Harris hip scores were comparable between the two groups. Conclusions Intramedullary fixation with cannulated screws has advantages in treating complicated femoral neck fractures. Besides cannulated screws, intramedullary fixation with cannulated screws might be another method to treat unstable femoral neck fractures in young and middle-aged patients. The study was registered in ClinicalTrials.gov. Unique Protocol ID: 11156458. The ClinicalTrial number is NCT03550079.
机译：目的不稳定的股骨颈骨折通常是由高能外伤引起的高角度剪切骨折。在临床环境中，通常以倒三角形配置平行空心螺钉来固定股骨颈骨折。这项研究的目的是研究使用空心螺钉进行髓内钉治疗中青年患者不稳定的股骨颈骨折的主要结果。方法回顾性分析了96例连续无髋关节手术史的患者，这些患者均使用倒三角形空心加压螺钉或带有空心螺钉的建筑钉。他们的人口统计学和放射学数据是从我们的机构数据库中回顾性收集的。结果倒置空心螺钉在减少失血量和切口尺寸方面效果显着，而髓内钉在减少螺钉退出和缩短住院时间方面具有优越的优势。两组的Harris髋关节得分相当。结论空心螺钉内固定治疗股骨颈复杂骨折具有一定的优势。除了空心螺钉，用空心螺钉进行髓内固定可能是治疗中青年患者股骨颈不稳定骨折的另一种方法。该研究已在ClinicalTrials.gov中注册。唯一的协议ID：11156458。临床试验编号为NCT03550079。

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