Fixation of femoral neck fracture - A randomized 2-year follow-up study of hook pins and sliding screw plate in 222 patients
Fixation of femoral neck fracture - A randomized 2-year follow-up study of hook pins and sliding screw plate in 222 patients
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DOI：
10.3109/17453679509002303
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发表时间：
1995-12-01
期刊：
影响因子：
--
通讯作者：
Zetterberg, C
中科院分区：
文献类型：
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作者：
Elmerson, S;Sjostedt, A;Zetterberg, C
我们在222例颈椎髋部骨折患者的前瞻性随机研究中比较了钩钉固定和滑动螺钉板固定。122例采用双钩钉手术的患者中有43例出现早期复位、骨不连或晚期节段塌陷的影像学证据，100例采用滑动螺钉钢板手术的患者中有40例。按精算方法计算，2年后的不良率；钩钉组为38%，螺钉板组为46%，差异无统计学意义。由于早期复位，钩针组11（22）例患者和滑动螺钉板组4（17）例患者在0.5(2)年内再次行假体内假体手术。
We compared fixation with hook pins or sliding screw plate in a prospective randomized study of 222 patients with a cervical hip fracture. Radiographic evidence of early redisplacement, nonunion, or late segmental collapse was found in 43 of 122 patients operated on with two hook pins and in 40 of 100 patients operated on with the sliding screw plate. According to the actuarial method, the failure rate after 2 years;was 38% with hook pins and 46% with screw plates, which not is a significant difference.Due to early redisplacement, reoperation with an endoprosthesis was performed within 0.5 (2) years in 11 (22) patients in the hook-pin group and in 4 (17) patients in the sliding-screw plate group.