InterTan髓内钉内固定治疗股骨粗隆间骨折的临床观察  

Clinical Observation of Inter Tan Intramedullary Nail Fixation for the Treatment of Intertrochanteric Fracture

作　　者：蔡跃波 

机构地区：[1]广东省佛山市顺德区桂洲医院,广东佛山528305

出　　处：《中国医学创新》2016年第5期132-135,共4页Medical Innovation of China

摘　　要：目的:分析Inter Tan髓内钉内固定治疗股骨粗隆间骨折临床效果。方法:研究对象为2014年1月-2015年6月本院收治的150例股骨粗隆间骨折患者,根据入院就诊先后顺序编号将其随机分为DHS组、PFNA组和Inter Tan组,每组50例。DHS组患者施行动力髋关节螺钉(DHS)内固定手术,PFNA组患者施行股骨近端防旋髓内钉(PFNA)内固定手术,Inter Tan组施行Inter Tan髓内钉内固定手术。对三组患者的手术平均用时、下地行走时间、术后骨折平均愈合时间、术中出血情况、术后引流情况、髋关节功能优良率和术后并发症情况进行对比。结果:与DHS组、PFNA组比较,Inter Tan组的手术平均用时、下地行走时间、术后骨折平均愈合时间均明显缩短,术中出血量和术后引流量均明显减少,差异均有统计学意义(P<0.05)。三组患者的髋关节功能优良率比较差异无统计学意义(P>0.05)。Inter Tan组的并发症发生率为2.0%,明显低于DHS组和PFNA组的18.0%和16.0%,差异均有统计学意义(P<0.05)。结论:股骨粗隆间骨折采用DHS、PFNA和Inter Tan内固定治疗均具有一定的效果,有助于髋关节功能的改善。但相对于DHS、PFNA来说,Inter Tan髓内钉内固定手术更为简便、有微创性,患者术后恢复快,值得推广,该内固定方法较为理想,尤其适合老年合并症较多、合并骨质疏松的患者。Objective： To analyze the clinical effect of InterTan intramedullary nail fixation for the treatment of intertrochanteric fracture.Method： 150 patients with intertrochanteric fracture admitted to our hospital from January 2014 to June 2015 were selected as the research objects, and they were randomly divided into the DHS group, the PFNA group and InterTan group according to the hospital to see a doctor order numbers, 50 cases in each group.The DHS group was treated with dynamic hip screw （ DHS ） internal fixation surgery, the PFNA group was treated with proximal femur prevent rotation intramedullary nailing （ PFNA ） internal fixation surgery, the InterTan group was treated with InterTan intramedullary nail fixation surgery.The average operation time, average walk time, postoperative fracture healing time, intraoperative bleeding and postoperative drainage situation, excellent rate of hip joint function and postoperative complications of the three group were compared.Result： Compared with DHS group and PFNA group, the average operation time, average walk time and postoperative fracture healing time of the InterTan group were significantly shorter, the intraoperative bleeding and postoperative drainage volume were significantly fewer, the differences were statistically significant （ P〈0.05 ） .There was no statistically significant difference in the excellent rate of hip joint function among the three groups （ P〉0.05 ） .And the incidence of postoperative complications in the InterTan group was 2.0%, which was significantly lower than 18.0% and 16.0% in the DHS group and PFNA group, the differences were statistically significant （ P〈0.05 ） .Conclusion： Femoral intertrochanteric fractures with DHS, PFNA and InterTan internal fixation treatment have a certain effect, they are helpful to improve the function of hip joint.But relative to the DHS and PFNA, InterTan intramedullary nail fixation is more simple, minimally invasive surgery, patients with postoperative recovery fast, is worthy

关 键 词：InterTan髓内钉内固定 股骨粗隆间骨折 临床效果 

分 类 号：R687.3[医药卫生—骨科学]