| 摘要: |
| ［摘要］ 目的 对比股骨近端防旋髓内钉与解剖锁定接骨板固定治疗老年不稳定性股骨转子间骨折的临床效果。方法 选取2014-02～2015-12该院收治的老年不稳定性股骨转子间骨折患者70例，按随机数字表法随机分为对照组和观察组，各35例。对照组采用解剖锁定接骨板固定治疗，观察组采用股骨近端防旋髓内钉治疗，对比两组治疗情况及髋关节恢复优良率。结果 观察组手术时间、术中出血量、住院时间及骨折愈合时间均低于对照组，差异有统计学意义(P<0.01)；两组髋关节恢复优良率比较差异无统计学意义(P>0.05)。结论 股骨近端防旋髓内钉与解剖锁定接骨板固定术均能有效治疗老年不稳定性股骨转子间骨折，与解剖锁定接骨板固定术相比，采用股骨近端防旋髓内钉治疗具有出血量少、术后恢复快等优点。因此，选择手术方法时，可根据患者骨折的具体情况做出判断。 |
| 关键词: 股骨近端防旋髓内钉 解剖锁定接骨板 不稳定性股骨转子间骨折 |
| DOI：10.3969/j.issn.1674-3806.2017.10.14 |
| 分类号:R 68 |
| 基金项目: |
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| Comparison of the clinical effects between proximal femoral intramedullary nail and anatomical locking plate fixation for the treatment of unstable intertrochanteric fractures in elderly patients |
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KANG Yong-qi
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The First Department of Orthopaedics, the People′s Hospital of Dengfeng City, Henan 452470, China
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| Abstract: |
| ［Abstract］ Objective To compare the clinical effects between proximal femoral intramedullary nail and anatomical locking plate fixation for the treatment of unstable intertrochanteric fractures in elderly patients.Methods 70 elderly patients with unstable intertrochanteric fractures in our hospital from February 2014 to December 2015 were randomly divided into two groups according to the random number method, with 35 cases in each group. The control group was treated with anatomical locking plate fixation,and the observation group was treated with proximal femoral antirotation intramedullary nail. The clinical effects were compared between the two groups.Results The operation time, blood loss, hospitalization time and fracture healing time of the observation group were significantly lower than those of the control group(P<0.01). There was no significant difference in the excellent rate of hip joint function recovery between the two groups(P>0.05).Conclusion Proximal femoral antirotation intramedullary nail and anatomical locking plate fixation are effective in the treatment of unstable intertrochanteric fractures in elderly patients. Compared with the anatomic locking plate fixation, proximal femoral antirotation intramedullary nail has less bleeding and faster postoperative recovery results. Therefore, the choice of surgical methods depends on the specific circumstances of the patients. |
| Key words: Poximal femoral intirotation intramedullary nail Anatomical locking plate Unstable intertrochanteric fracture |
