多学科协作绿色通道模式下股骨颈动力交叉钉系统治疗股骨颈骨折的疗效分析

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关键词：多学科协作；绿色通道；股骨颈动力交叉钉系统；股骨颈骨折 中图分类号：R687.3文献标志码：A文章编号：2097-7174（2025）10-0952-06 DOI：10.3969/j.issn.2097-7174. 2025.10.005

Abstract：Objective：To explore theclinical efectivenessofthefemoralneck dynamiccross-screwsystem（FNS）inthe treatmentoffemoral neck fracturesundera multidisciplinarytreatment green channel model.Methods：Aretrospective studyreviewed90 cases（3O casesper group）offemoral nck fractures in patientsaged18-65 years treated in our Hospital from January2022 toJanuary2O24.Thecohort wasstratifiedintothree groupsbasedondistinctinternalfixation techniques.Green channelFNS fixed group：multidisciplinaryand greenchannelcolaborationtreatment withFNS fixation within8hours of surgery.Green channel CCSfixed group：multidisciplinaryandgreenchannelcollaborationtreatment with canulated compressonscrew（CCS）fixation within 8 hours of surgery.Traditional CCS fixed group ：traditional treatment with CCS fixation，surgery performed8hoursafter admission.Comparison was madeabout thepreoperative general data，lengthofhospital stay，intraoperativesurgical indicators（blood lossvolume，operationtime，numberof fluoroscopies），fracture healingtime，postoperativecomplications（femoral headnecrosis，infection，etc.），and-year postoperative hip Haris scoresamong patients in Greenchannel FNS fixed group，Green chanel CCS fixed group，and Traditional CCS fixed group.Results：Green channel FNS fixed group was significantly superior to Green channel CCS fixed groupandTraditionalCCS fixedgroupintermsof lengthof hospitalstay，operation time，numberoffluoroscopies， fracture healing time，and Harris score（ P<0.05 ）；Green channel CCS fixed group was superior to Traditional CCS fixed group in terms of length of hospital stay，blood loss volume，fracture healing time，and Harrisscore（ P<0.05 ）. There was a statistically significantdiference inthe incidence of postoperative complications among the three groups （ P<0.05 ），and the incidence of postoperative complications in Green channel FNS fixed group was lower than that inTraditional CCSfixedgroup.Conclusion：With themultidisciplinarycollaborativegreenchannelmodel，FNScan significantly improve theeficiencyof earlysurgical intervention，optimize the fracture healing process，enhance hip jointfunction，and reduce postoperative complications，thus demonstrating favorable clinical promotionvalue.

KeyWords：Multidisciplinarytreatment；Greenchannel；Femoralneck dynamiccros-screwsystem；Femoral neck fracture

股骨颈骨折是临床工作中常见的骨折之一，约占髋部骨折的 54.0% ，其中高能量损伤是中青年股骨颈骨折的主要原因[1]。（剩余8552字）