近端防旋髓内钉与近端锁定钢板治疗老年股骨转子间不稳定骨折的效果比较(1)
[摘要] 目的 比较近端防旋髓内钉与近端锁定钢板治疗老年股骨转子间不稳定骨折的效果。 方法 回顾性分析福建医科大学附属宁德市医院2011年2月～2016年1月收治的120例老年股骨转子间不稳定骨折患者临床资料，依据治疗措施不同进行分组，近端防旋髓内钉组(60例)和近端锁定钢板组(60例)。观察两组老年股骨转子间不稳定骨折患者切口长度、手术时间、术中出血量、术后负重时间、住院天数、骨折愈合时间、术后功能恢复效果、术后并发症情况。 结果 防旋髓内钉组切口长度、手术时间、术中出血量、术后负重时间、住院天数、骨折愈合时间均低于锁定钢板组，防旋髓内钉组术后功能恢复优良率高于锁定钢板组，防旋髓内钉组切口感染、下肢静脉血栓、大转子部疼痛不适、髋关节内翻均低于锁定钢板组，差异均有统计学意义(P < 0.05)。 结论 近端防旋髓内钉治疗老年股骨转子间不稳定骨折，创伤小，疗效好，并发症少，值得临床推广应用。
[关键词] 近端防旋髓内钉；近端锁定钢板；老年股骨转子间不稳定骨折；比较
[中图分类号] R687.3 [文献标识码] A [文章编号] 1673-7210(2017)05(c)-0102-04
[Abstract] Objective To compare the effect of treatment agedness unstable fracture between femur rotor by proximal screw intramedullary nail and proximal locking plate. Methods From February 2011 to January 2016， in Ningde Hospital Affiliated to Fujian Medical University， clinical data of agedness unstable fracture between femur rotor patients (120 cases) were retrospectively analyzed， they were divided into two groups by different treatment methods， proximal screw intramedullary nail group (60 cases) and proximal locking plate group (60 cases). The incision length， operation time， intraoperative blood loss， load time after operation， hospital stay， fracture healing time， functional recovery effect after operation， postoperative complications of agedness unstable fracture between femur rotor patients in two groups were detected. Results The The incision length， operation time， intraoperative blood loss， load time after operation， hospital stay， fracture healing time of proximal screw intramedullary nail group were lower than proximal locking plate group， the functional recovery good rate after operation of proximal screw intramedullary nail group were higher than proximal locking plate group， the incision infection， LDVT， big rotor pain caused discomfort， hip varus of proximal screw intramedullary nail group were lower than proximal locking plate group， the differences were statistically significant (P < 0.05). Conclusion The treatment agedness unstable fracture between femur rotor by proximal screw intramedullary nail， trauma is little， curative effect is good， complication is little， it is worth to be used.
[Key words] Proximal screw intramedullary nail； Proximal locking plate； Agedness unstable fracture between femur rotor； Comparison
股骨轉子间骨折主要是股骨颈基底部到股骨小转子水平发生一类特殊骨折类型，多发生于老年患者，因生理年龄增大，骨质疏松发生比例增多，外来能量损伤很容易发生股骨转子间骨折[1-2]。股骨转子间区域是皮质骨和松质骨的交界区域，血管和侧支循环比较多，血运丰富，骨折多为不稳定骨折[3-4]。手术是临床常用的治疗老年股骨转子间不稳定骨折方法，有效的固定不仅关系到手术解剖复位效果，同时对于患者预后康复训练和功能恢复均有着重要的影响[5-6]。目前常用的固定方式主要包括钉板固定系收治的老年股骨转子间不稳定骨折患者临床资料，拟探讨近端防旋髓内钉与近端锁定钢板治疗老年股骨转子间不稳定骨折的比较情况，现报道如下：, http://www.100md.com(庄培峰 黄建军 朱祖巍)
[关键词] 近端防旋髓内钉；近端锁定钢板；老年股骨转子间不稳定骨折；比较
[中图分类号] R687.3 [文献标识码] A [文章编号] 1673-7210(2017)05(c)-0102-04
[Abstract] Objective To compare the effect of treatment agedness unstable fracture between femur rotor by proximal screw intramedullary nail and proximal locking plate. Methods From February 2011 to January 2016， in Ningde Hospital Affiliated to Fujian Medical University， clinical data of agedness unstable fracture between femur rotor patients (120 cases) were retrospectively analyzed， they were divided into two groups by different treatment methods， proximal screw intramedullary nail group (60 cases) and proximal locking plate group (60 cases). The incision length， operation time， intraoperative blood loss， load time after operation， hospital stay， fracture healing time， functional recovery effect after operation， postoperative complications of agedness unstable fracture between femur rotor patients in two groups were detected. Results The The incision length， operation time， intraoperative blood loss， load time after operation， hospital stay， fracture healing time of proximal screw intramedullary nail group were lower than proximal locking plate group， the functional recovery good rate after operation of proximal screw intramedullary nail group were higher than proximal locking plate group， the incision infection， LDVT， big rotor pain caused discomfort， hip varus of proximal screw intramedullary nail group were lower than proximal locking plate group， the differences were statistically significant (P < 0.05). Conclusion The treatment agedness unstable fracture between femur rotor by proximal screw intramedullary nail， trauma is little， curative effect is good， complication is little， it is worth to be used.
[Key words] Proximal screw intramedullary nail； Proximal locking plate； Agedness unstable fracture between femur rotor； Comparison
股骨轉子间骨折主要是股骨颈基底部到股骨小转子水平发生一类特殊骨折类型，多发生于老年患者，因生理年龄增大，骨质疏松发生比例增多，外来能量损伤很容易发生股骨转子间骨折[1-2]。股骨转子间区域是皮质骨和松质骨的交界区域，血管和侧支循环比较多，血运丰富，骨折多为不稳定骨折[3-4]。手术是临床常用的治疗老年股骨转子间不稳定骨折方法，有效的固定不仅关系到手术解剖复位效果，同时对于患者预后康复训练和功能恢复均有着重要的影响[5-6]。目前常用的固定方式主要包括钉板固定系收治的老年股骨转子间不稳定骨折患者临床资料，拟探讨近端防旋髓内钉与近端锁定钢板治疗老年股骨转子间不稳定骨折的比较情况，现报道如下：, http://www.100md.com(庄培峰 黄建军 朱祖巍)