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首页> 外文期刊>International Orthopaedics >Functional comparison between uncemented Austin-Moore hemiarthroplasty and osteosynthesis with three screws in displaced femoral neck fractures--a matched-pair study of 168 patients.
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Functional comparison between uncemented Austin-Moore hemiarthroplasty and osteosynthesis with three screws in displaced femoral neck fractures--a matched-pair study of 168 patients.

机译：168例患者的配对研究在未固定的Austin-Moore髋关节置换与三螺钉固定在股骨颈移位骨折中的功能比较。

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摘要

There is no consensus as to whether osteosynthesis (OS) or hemiarthroplasty (HA) should be used as the primary treatment of displaced femoral-neck fracture. In a prospective matched-pair study, we compared 84 patients treated with OS with three screws and 84 patients treated with uncemented Austin-Moore HA focusing on functional parameters, reoperations and mortality. At 4 months after the fracture, functional recovery was not significantly different between the study groups. However, OS patients tended to have slightly better functional ability than HA patients, as more of them were able to walk out of doors (45.2% versus 39.2%), more were able to walk without walking aids (23.7% versus 16.7%), and more returned to live in their own homes (80%versus 72.9%). OS patients used slightly but not significantly less painkillers and had less hip pain than HA patients. OS patients had had 15.4% more reoperations by 4 months and 14.2% more by 1 year compared to the HA group. The 4-month and 1-year mortality rates of the study groups were of the same order. Functional recovery was slightly better after OS with three screws than after uncemented HA, although no significant differences were seen in a sample of this size. On the other hand, OS was associated with a higher reoperation rate.
机译：关于应采用骨合成（OS）还是半髋置换（HA）作为股骨颈移位骨折的主要治疗方法尚无共识。在一项前瞻性配对研究中，我们在功能参数，再手术和死亡率方面比较了84例接受三颗螺丝钉OS治疗的患者和84例未经胶结的Austin-Moore HA治疗的患者。骨折后4个月，研究组之间的功能恢复无明显差异。但是，OS患者的功能能力往往比HA患者好一些，因为他们更多的是能够走出门（45.2％对39.2％），更多的人能够在没有助行器的情况下行走（23.7％对16.7％），还有更多人返回家中居住（80％比72.9％）。 OS患者使用的止痛药比HA患者使用的止痛药略少但没有显着减少，并且髋部疼痛较少。与HA组相比，OS患者在4个月时的再手术率增加了15.4％，在1年时的再手术率增加了14.2％。研究组的4个月和1年死亡率是相同的。 OS使用三颗螺丝钉后的功能恢复比未粘连的HA稍好，尽管在这种大小的样本中未发现明显差异。另一方面，OS与更高的重新手术率相关。

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