老年骨质疏松性股骨转子间骨折的两种髓内钉治疗方法的比较  

A comparative analysis of two sorts of intramedullary nail in the treatment for the gerontal osteoporotic intertrochanteric fracture

作　　者：王强[1] 张庆明[1] 曹立[1] 高志华[1] 

机构地区：[1]首都医科大学宣武医院骨科,北京100053

出　　处：《中国骨肿瘤骨病》2008年第6期364-366,共3页Chinse Journal Of Bone Tumor And Bone Disease

摘　　要：目的回顾比较分析应用AO股骨近端髓内钉与国产短重建髓内钉手术治疗老年骨质疏松性股骨转子间骨折的方法及效果。方法2001年9月至2004年10月,应用AO股骨近端髓内钉(PFN)及国产短重建髓内钉(短重建钉)治疗60岁以上骨质疏松性股骨转子间骨折107例,PFN组40例,短重建髓内钉组67例。术后分别给予随访。比较术中出血量、手术时间、并发症及骨折愈合质量等指标。结果完成随访95例,平均随访26个月。Harris评分髋关节功能恢复优良率PFN组和短重建钉组分别为(76.33±3.68)%和(82.05±1.98)%,患者满意率分别为87.18%和89.29%。PFN组手术时间短于短重建钉组(P<0.05)。结论PFN和短重建髓内钉均是治疗转子间骨折较好的内固定器材,有相同之处又各有其特点,可根据具体情况加以选择。Objective To comparatively analyze the methods and results of the AO-proximal femoral nail and the domestic-made short reconstructive intramedullary nail in the treatment of the gerontal osteoporotic intertrochanteric fracture. Methods A total of 107 osteoporotic intertrochanteric fractures were treated from Sep. 2001 to Oct. 2004. They were over 60 years old, and were treated with the AO-proximal femoral nail （PFN） and the domestic-made short reconstructive intramedullary nail （Short Recon Nail）, 40 in PFN group and 67 in Short Recon Nail group. The patients were followed-up respectively. The blood-loss in operation, the operative time, the complications and the outcomes of the fracture union were compared. Results Ninety-five patients were followed up in the end of the study （average 26 months）. All results were satisfactory. There was only a little difference in the timing of operation of the two groups. Conclusions The proximal femoral nail and the short reconstructive intramedullary nail are both good implants for the internal fixation of the intertrochanteric fracture. The two implants are similar in some aspects, and they have respective advantages. The actual condition should be analysed before operation.

关 键 词：骨质疏松 转子间骨折 手术 髓内钉 

分 类 号：R687.3[医药卫生—骨科学] R580[医药卫生—外科学]