摘要
目的对照分析合并冠状面骨折的股骨转子间严重粉碎性骨折外科治疗的临床疗效。方法抽选2018年1月—2020年2月于该院就诊的68例合并冠状面骨折的股骨转子间严重粉碎性骨折患者,根据患者个人选择纳入解剖组(n=34)与梯形组(n=34)。梯形组实施梯形加压钢板固定治疗,解剖组行股骨近端解剖型钢板固定治疗。比较患者的治疗效果。结果梯形组、解剖组患者手术治疗后关节功能评分分别是(43.02±5.77)分、(40.79±2.81)分,梯形组评分高于解剖组,差异有统计学意义(t=2.026,P=0.047)。梯形组患者治疗后的VAS、JOA评分分数是(2.53±0.13)分、(74.64±12.22)分,优于解剖组(5.14±0.31)分、(57.46±10.03)分,差异有统计学差异(t=45.273,6.337,P<0.05)。梯形组患者术后出现1例并发症,解剖组患者术后出现8例并发症,差异有统计学意义(χ^(2)=4.610,P=0.032)。梯形组患者的进食、如厕、床椅转移及平地行走分数高于解剖组,差异有统计学意义(P<0.05)。结论梯形加压钢板固定治疗合并冠状面骨折的股骨转子间严重粉碎性骨折,可在保证固定效果的同时,快速改善患者的髋关节功能状态,降低患者并发症发生率,早期提高患者的自主生活能力。
Objective To compare and analyze the clinical effects of surgical treatment of severe comminuted femoral intertrochanteric fractures with coronal fractures.Methods A total of 68 patients with severe comminuted femoral intertrochanteric fractures with coronal fractures were selected from January 2018 to February 2020,and were included in the anatomical group(n=34)and trapezoid group(n=34)according to the individual choice of the patients.The trapezoid group received trapezoidal compression plate fixation,and the anatomical group received anatomical plate fixation at the proximal femur.Compare patients'treatment effects.Results The scores of joint function of patients in the trapezoid group and the anatomical group were(43.02±5.77)points and(40.79±2.81)points respectively.The scores of the trapezoid group were higher than those of the anatomical group,the difference was statistically significant(t=2.026,P=0.047).The VAS and JOA scores of patients in the trapezoid group after treatment were(2.53±0.13)points and(74.64±12.22)points,which were better than the anatomical group(5.14±0.31)points and(57.46±10.03)points,the difference was statistically significant(t=45.273,6.337,P<0.05).There was 1 postoperative complication in the trapezoid group and 8 postoperative complications in the anatomical group.The difference was statistically significant was statistically significant(χ^(2)=4.610,P=0.032).The scores of eating,going to the toilet,bed and chair transfer,and walking on the ground in the trapezoid group were relatively higher than those in the anatomical group,the difference was statistically significant(P<0.05).Conclusion Trapezoidal compression plate fixation for the treatment of severe comminuted femoral intertrochanteric fractures with coronal fractures can quickly improve the patient's hip function while ensuring the fixation effect,reduce the incidence of patient complications,and improve patient autonomy early survival skills.
作者
梁兵
LIANG Bing(Department of Orthopedics,Honghuagang District Orthopedic Hospital,Zunyi,Guizhou Province,563000 China)
出处
《世界复合医学》
2021年第6期158-161,共4页
World Journal of Complex Medicine
关键词
合并冠状面骨折
股骨转子间严重粉碎性骨折
外科治疗
Combined coronal fractures
Severe comminuted femoral intertrochanteric fractures
Surgical treatment
