【摘要】 目的 分析 C 型臂 X 线机辅助下逆向闭合复位术对外展嵌插型股骨颈骨折的治疗效果。方法选择我院骨科于 2020 年 1 月至 2021 年 11 月收诊的外展嵌插型股骨颈骨折患者 21 例，均于 C 型臂 X 线机监测下行逆向闭合复位手术，术后 X 线复查患者的手术复位效果，随访观察患者术后并发症、髋关节功能恢复、生活质量等指标，以探讨该术式的临床应用价值。结果 所有患者均顺利完成手术，无术中转开放手术者，术后第 2 天复查的 X 线片图像清晰，内固定物无改变，手术复位均理想。术后患者均接受随访，最短随访 4 个月，最长 24 个月，平均 (17.6±6.09) 个月，随访期间无感染、血栓等不良事件发生。末次随访时，有 20 例 (95.24%) 患者的髋关节功能恢复优良，Harris 评分 (88.4±7.85) 分、生活质量评分 (74.2±7.16) 分，明显高于手术前各指标评分 (P < 0.05)。结论 针对外展嵌插型股骨颈骨折，于 C 型臂 X 线机辅助监测下实施逆向闭合复位术，具有复位精准、创伤小、并发症风险低等优点，值得临床选择。更多还原

【Abstract】 Objective To analyze the effectiveness of C-arm X-ray assisted reverse closed reduction in the treatment of abductor-in-socket femoral neck fractures.Methods Twenty-one patients with abductor-in-socket femoral neck fracture underwent C-arm X-ray assisted reverse closed reduction from January 2020 to November 2021.All were admitted to the Department of Orthopedics of the People’s Hospital of Bozhou.The reduction was evaluated by X-ray after the operation.Postoperative complications,functional recovery of the hip joint,quality of life and other indicators were assessed.Results All patients successfully completed the operation.None converted to open surgery.X-ray images on the 2nd postoperative day showed firm internal fixation and satisfactory surgical reduction.All patients were followed up after surgery,with a mean of (17.6±6.09) months (range:4-24 months).No infection or thrombosis occurred during the follow-up.At the final follow-up,20 patients (95.24%) had excellent recovery of hip functions,with Harris score (88.4±7.85) and quality of life score (74.2±7.16),which were significantly higher than those before surgery (P < 0.05).Conclusions For abductor-in-socket femoral neck fracture,reverse closed reduction with the aid of C-arm X-ray monitoring has the advantages of precise reduction,less trauma,and low risk of complications,which is worthy of clinical promotion.更多还原