摘要
目的:探究用闭合复位加长型股骨近端防旋髓内钉(PFNA)内固定术治疗股骨粗隆间骨折的效果。方法:选取2019年1月至2022年3月在江苏省泗洪医院进行治疗的股骨粗隆间骨折患者85例为观察对象,分为常模组(n=42)与研讨组(n=43)。给予常模组闭合复位Gamma钉内固定术,给予研讨组闭合复位加长型PFNA内固定术。比较两组的手术相关指标、术后并发症的发生率及Harris髋关节评分。结果:相较于常模组,研讨组的手术时间更短,术中出血量更少,切口更小(P<0.05)。相较于常模组,研讨组深部血肿、髋内翻畸形、螺钉松动、骨不连等并发症的发生率更低(P<0.05)。术后1个月及3个月,相较于常模组,研讨组的Harris髋关节评分均更高(P<0.05)。结论:在股骨粗隆间骨折的治疗中应用闭合复位加长型PFNA内固定术疗效显著,能促进患者髋关节功能的恢复,且具有手术时间短、切口小、术中出血少及术后并发症发生率低等优势,值得临床推广使用。
Objective:To explore the effect of clos ed reduction lengthened proximal femoral anti-rotation intramedullary nail(PFNA)internal fixation in the treatment of intertrochanteric fracture of femur.Methods:A total of 85 patients with intertrochanteric fracture of femur treated in Sihong Hospital of Jiangsu Province from January 2019 to March 2022 were selected as the observation subjects and divided into normal group(n=42)and discussion group(n=43).Closed reduction Gamma nail internal fixation was performed in the normal model group,and closed reduction extended PFNA internal fixation was performed in the seminar group.Operation-related indicators,incidence of postoperative complications and Harris hip score were compared between the two groups.Results:Compared with the normal group,the discussion group had shorter operation time,less intraoperative blood loss and smaller incision(P<0.05).Compared with the normal model group,the incidence of deep hematoma,hip varus deformity,screw loosening,bone nonunion and other complications was lower in the research group(P<0.05).At 1 and 3 months after surgery,the Harris hip score of the study group was higher than that of the normal group(P<0.05).Conclusion:In the treatment of intertrochanteric fracture of femur,closed reduction and lengthening PFNA internal fixation has significant efficacy,can promote the recovery of hip function,and has the advantages of short ope ration time,small incision,less intraoperative bleeding and low incidence of postoperative complications,which is worthy of clinical promotion.
作者
疏致富
孙军
罗辉耀
雷扬
SHU Zhifu;SUN Jun;LUO Huiyao;LEI Yang(Department of Orthopaedic Trauma,Sihong Hospital of Jiangsu Province,Sihong 223900,China)
关键词
闭合复位加长型股骨近端防旋髓内钉内固定术
股骨粗隆间骨折
并发症
髋关节功能
闭合复位Gamma钉内固定术
Closed reduction lengthened proximal femoral anti-rotation intramedullary nail internal fixation
Intertrochanteric fracture of femur
Complications
Hip function
Closed reductio n Gamma nail internal fixation
