摘要
目的比较老年股骨转子间骨折患者采用股骨近端防旋髓内钉与解剖型髓内钉治疗的临床疗效。方法方便选取2022年3月—2023年3月菏泽市第三人民医院收治的74例老年股骨转子间骨折患者作为研究对象。信封抽签法分为两组,对照组(n=37,解剖型髓内钉内固定术治疗)与观察组(n=37,股骨近端防旋髓内钉内固定术治疗)。对比两组围术期指标、骨折愈合指标、术后生物力学指标及术后不同时期的髋关节功能评分情况。结果观察组手术用时、术中出血量均少于对照组,差异有统计学意义(P均<0.05)。观察组负重时间及骨折愈合时间均短于对照组,差异有统计学意义(P均<0.05)。观察组术后Harris髋关节功能评分高于对照组,差异有统计学意义(P<0.05)。观察组生物力学指标[压缩试验(91.25±12.36)N/mm、破坏载荷(3305.24±258.65)N、扭转试验(1.04±0.21)Nm/°]均优于对照组[(42.12±11.26)N/mm、(2235.54±231.21)N、(1.57±0.26)Nm/°],差异有统计学意义(t=17.874、18.755、9.646,P均<0.05)。结论老年股骨转子间骨折选择股骨近端防旋髓内钉内固定术临床疗效更好。
Objective To compare the clinical efficacy of treating elderly patients with intertrochanteric femur trochanter with proximal femoral anti-rotation intramedullary nail and anatomical intramedullary nail.Methods A total of 74 elderly patients with intertrochanteric trochanter of femur treated in the Heze Third People's Hospital from March 2022 to March 2023 were conveniently selected as the study objects,and they were divided into two groups by envelope drawing method,control group(n=37,anatomic intramedullary nail treatment)and observation group(n=37,proximal femur antirotation intramedullary nail treatment).Perioperative indexes,fracture healing indexes,postoperative biomechanical indexes and hip function scores in different postoperative periods were compared between the two groups.Results The operation time and blood loss in the observation group were shorter than those in the control group,and the differences were statistically significant(both P<0.05).The weight-bearing time and fracture healing time in the observation group were better than those in the control group,and the differences were statistically significant(both P<0.05).The Harris Hip Joint Function Scale(Harris)score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The biomechanical indexes compressive test(91.25±12.36)N/mm,failure load(3305.24±258.65)N,torsion test(1.04±0.21)Nm/°of the observation group were better than the control group(42.12±11.26)N/mm,(2235.54±231.21)N and(1.57±0.26)Nm/°,and the differences were statistically significant(t=17.874,18.755,9.646,all P<0.05).Conclusion In elderly patients with intertrochanteric femoral fractures,the use of proximal anti-rotation intramedullary nail fixation has better clinical effect.
作者
朱周杰
任强
王永沛
ZHU Zhoujie;REN Qiang;WANG Yongpei(Department of Orthopedics,Heze Third People's Hospital,Heze,Shandong Province,274000 China)
出处
《世界复合医学》
2024年第3期37-41,共5页
World Journal of Complex Medicine
关键词
股骨转子间骨折
股骨近端防旋髓内钉
解剖型髓内钉
疗效
Intertrochanteric femoral trochanter
Proximal femoral anti-rotation intramedullary nail
Anatomical intramedullary nail
Efficacy
