TAD值在INTERTAN髓内钉治疗骨质疏松性股骨粗隆间骨折中的应用价值  

The application value of TAD value in the treatment of osteoporotic femoral intertrochanteric fractures using INTERTAN intramedullary nail

作　　者：杨家赵[1] 方诗元[2] 夏睿[2] 王叙进[2] 孙建皖[2] 徐磊[2] 

机构地区：[1]安徽医科大学 [2]安徽医科大学附属安徽省立医院

出　　处：《中国骨质疏松杂志》2012年第12期1101-1104,1090,共5页Chinese Journal of Osteoporosis

摘　　要：目的探讨TAD值(Tip Apex Distance,尖顶距值)在第四代股骨近端联合交锁髓内钉(INTERTAN钉)治疗老年骨质疏松性股骨粗隆间骨折中的应用价值。方法回顾分析2010年1月～2011年12月,应用INTERTAN钉并遵循"尖顶距"原理放置拉力钉治疗股骨粗隆间骨折16例。骨折按内固定研究协会/美国骨创伤协会(AO/OTA)分型标准:31-A1型1例,31-A2型12例,31-A3型3例。结果全部病例获得5～18月的随访,平均8.5月,按JOA髋关节评分系统评定:优10例,良4,可2例,优良率为87.5%。结论新一代股骨近端髓内钉INTERTAN治疗老年骨质疏松性股骨粗隆间骨折并按TAD原理放置拉力螺钉,固定可靠,骨折愈合率高,临床疗效满意,能有效减少拉力螺钉切出等并发症。Objective To investigate the application value of TAD value in the treatment of osteoporotic femoral intertrochanteric fractures using the 4th generation femoral proximal united interlocking intramedullary nail （INTERTAN nail）. Methods Data of 16 patients with femoral intertrochanteric fractures who received treatment using INTERTAN nails and pulling nails placed according to the principal of tip-apex distance （TAD）, from January 2010 to December 2012, were analyzed retrospectively. All the fractures were classified according to the standard of AO/OTA, 1 case of 31-A1 type, 12 cases of 31-A2 type, 3 cases of 31-A3 type. Results The follow-up period of all patients was 5 - 18 months, with an average of 8. months. According to the JOA hip joint scoring system, 10 cases were excellent, 4 cases were good, and 2 cases were acceptable. The rate of exeeUent and good was 87.5%. Conclusion The fixation is reliable using the new generation femoral proximal intramedullary nail, INTERTAN nail, to treat senile osteoporotic femoral intertroehanteric fractures and to place pulling nails according to the principal of TAD. The healing rate of fractures is high. The clinical effect is satisfied. The complications such as cut out of pulling nails is reduced effectively.

关 键 词：TAD值 髓内钉 骨质疏松 股骨粗隆间骨折 

分 类 号：R683[医药卫生—骨科学]