摘要
目的探讨G形臂X线机辅助置钉在股骨粗隆间骨折股骨近端防旋髓内钉(PFNA)内固定术中的应用价值。方法回顾性分析延安大学附属医院2016年2月～2017年8月采用PFNA内固定治疗的75例股骨粗隆间骨折,39例术中应用G形臂X线机辅助置钉(记为G形臂组),36例术中应用C形臂X线机辅助置钉(记为C形臂组)。比较两组手术时间、术中出血量、术中透视次数,末次随访髋关节功能Harris评分。结果 G形臂组解剖复位35例,功能复位4例;C形臂组解剖复位31例,功能复位5例,两组比较差异无统计学意义(P> 0.05)。两组均获得5～8个月随访。G形臂组手术时间、术中出血量、术中透视次数少于C形臂组,差异有统计学意义(P <0.05)。两组末次随访髋关节功能Harris评分比较,差异无统计学意义(P> 0.05)。结论股骨粗隆间骨折PFNA内固定术中采用G形臂X线机辅助置钉可减少手术时间、术中出血量及术中透视次数,可获得良好的临床疗效。
Objective To explore the application value of G-arm X-ray machine assisted nailing in proximal femoral nail anti-rotation(PFNA) placement in the femoral intertrochanteric fracture. Methods Seventy-five cases of femoral intertrochanteric fractures in Yan’an University Affiliated Hospital treated by PFNA from February 2016 to August2017 were retrospectively analyzed. Thirty-nine cases were received intraoperative G-arm X-ray machine assisted nailing(regarded as G-arm group), while 36 cases were received intraoperative C-arm X-ray machine assisted nailing(regarded as C-arm group). The operative time, intraoperative blood loss, intraoperative fluoroscopy times and Harris score of the hip joint function at the last follow-up were compared between the two groups. Results In the G-arm group, 35 cases were anatomically repositioned and 4 cases were functionally repositioned, while in the C-arm group, 31 cases were anatomically repositioned and 5 cases were functionally repositioned, there was no statistically significant difference between the two groups(P > 0.05). The follow-up was 5-8 months in the two groups. The operative time, intraoperative blood loss, and intraoperative fluoroscopy times of the G-arm group were less than those of the C-arm group,and the differences were statistically significant(P < 0.05). There was no significant difference in the Harris scores between the two groups at the last follow-up(P > 0.05). Conclusion The use of G-arm X-ray machine assisted nailing in PFNA of femoral intertrochanteric fracture can reduce the operation time, intraoperative blood loss and intraoperative fluoroscopy times, and obtain good clinical efficacy.
作者
刘军
郝申申
刘志斌
王飞
李长红
刘延雄
LIU Jun;HAO Shenshen;LIU Zhibin;WANG Fei;LI Changhong;LIU Yanxiong(Department of Orthopedics,Yan′an University Affiliated Hospital,Shaanxi Province,Yan'an 716000,China)
出处
《中国医药导报》
CAS
2018年第36期67-70,共4页
China Medical Herald
基金
陕西省社会发展科技攻关项目(2015SF115)
陕西省延安市科技惠民计划项目(2016HM-10-03)
陕西省延安市科技攻关计划项目(2017KS-06)
关键词
股骨粗隆间骨折
股骨近端防旋髓内钉
G形臂X线机
C形臂X线机
Femoral intertrochanteric fracture
Proximal femoral nail anti-rotation
G-arm X-ray machine
C-arm X-ray machine
