摘要
目的:比较Gamma3髓内钉固定和倒置LISS钢板两种内固定术治疗股骨转子下骨折的不同疗效。方法:对2010年3月~2014年3月某院诊治的120例股骨转子下骨折患者病例进行回顾性研究。其中采用Gamma3髓内钉固定患者62例,采用倒置LISS钢板固定患者58例,记录两组手术时间、术中出血、骨折愈合时间等手术一般情况。术后随访6~18个月,根据两组术后恢复、Harris髋关节评分以及术后并发症情况进行疗效分析。结果:Gamma3组手术时间、术中出血和骨折愈合时间情况均优于LISS组,差异具有统计学意义(P<0.05);Gamma3组术后恢复、Harris评分情况也均优于LISS组,差异具有统计学意义(P<0.05);两组术后并发症发生率比较无明显差异。结论:Gamma3髓内钉固定和倒置LISS钢板两种内固定术对股骨转子下骨折均有良好的临床疗效,但Gamma3髓内钉固定在手术时间、术中出血和骨折愈合时间以及术后恢复、Harris评分情况均优于倒置LISS钢板内固定术,临床疗效更佳。
Objective:To compare the effects of two kinds of internal fixation with Gamma3 nail and inverted LISS steel plate in the treatment of subtrochanteric fracture.Methods:A retrospective study was performed on 120 patients with subtrochanteric fractures treated in a hospital from March 2010 to March 2014.Among them,62 patients were treated with Gamma3 intramedullary nail fixation,and the other 58 patientswere treated with inverted LISS steel plate.The operation time,intraoperative bleeding and fracture healing time of the two groups were recorded.Patients were followed up for 6~18 months,according to the postoperative recovery,Harris hip score and postoperative complications of two groups,the curative effect was analyzed.Results:The operation time,intraoperative bleeding and fracture healing time of Gamma3 group were better than those of LISS group,which the differences were statistically significant(P<0.05).Postoperative recovery and Harris score of group Gamma3 were better than those of group LISS,which the differences were statistically significant(P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups.Conclusion:Gamma3 intramedullary nail fixation and inverted LISS steel plate in two kinds of internal fixation have good clinical curative effect in the trreatment of subtrochanteric fracture,but the operation time,intraoperative bleeding and healing time and postoperative recovery,and Harris score of Gamma3 intramedullary nail fixation were better than those of inverted LISS steel plate,with better clinical curative effect.
出处
《数理医药学杂志》
2017年第11期1584-1586,共3页
Journal of Mathematical Medicine
