InterTan系统与防旋型股骨近端髓内钉治疗老年人股骨粗隆间骨折的临床疗效评价  

The effects of proximal femoral nail antirotation and InterTan system for the treatment on elderly intertrochanteric fractures patients

作　　者：武振东[1] 王超[1] 朱东[1] 祁宝昌[1] 刘韦兵[1] 孙大辉[1] 秦大明[1] 

机构地区：[1]吉林大学白求恩第一临床医院创伤骨科,吉林长春130021

出　　处：《中国老年学杂志》2013年第3期497-500,共4页Chinese Journal of Gerontology

基　　金：国家自然科学基金资助项目(No.10832012)

摘　　要：目的评价并比较防旋型股骨近端髓内钉(PFNA)及InterTan系统治疗股骨粗隆间骨折的临床疗效。方法收集该院2008年6月至2010年10月手术治疗的55例患者,其中31例使用PFNA固定,24例使用InterTan系统固定,比较两组切口长度、术中出血量、平均手术时间、骨折愈合时间、内固定失效例数、术后3个月大腿疼痛程度及术后髋关节Harris评分。结果 PFNA组手术操作时间、术中出血量较InterTan组少(P<0.05),两组切口长度、骨折愈合时间、内固定失效率、术后3个月大腿疼痛程度和术后髋关节功能均无显著性差异(P>0.05)。结论 PFNA和In-terTan系统设计合理,各有优势。PFNA操作简单,手术时间短;InterTan抗旋转稳定及断端加压效果明显,理论上具有更高的稳定性。Objective To evaluate and compare the clinical efficacy of proximal femoral nail antirotation（PFNA） and InterTan system for the treatment on intertrochanteric fractures patients. Methods Since June 2008 to October 2010, 55 patients, of which 31 cases fixed with PFNA and 24 cases fixed with InterTan system were observed. The incision length, blood loss, mean operative time, fracture healing time, the number of cases of fixation failure were compared between the two groups. Results The operative time and blood loss were less in PFNA group than those in InterTan group （ P 〈 0. 05 ） , there were no significant differences between the two groups including incision length, fracture healing time, internal fixation failure rate after 3 months thigh pain severity and postoperative hip joint function （ P 〉 0. 05 ）. Conclusions PFNA and InterTan system are designed reasonably, with its own advantages respectively. PFNA has simple operation, shorter operative time, InterTan has anti-rotation stability and stump pressure effect. In theory, InterTan has a higher stability.

关 键 词：股骨粗隆间骨折 防旋型股骨近端髓内钉 INTERTAN 内固定 

分 类 号：R68[医药卫生—骨科学]