钛捆绑带联合髋关节置换术治疗老年股骨粗隆粉碎骨折的效果  

Effect of titanium binding belt combined with hip arthroplasty in the treatment of senile femoral trochanteric comminuted fracture

作　　者：陈乙瑞[1] 魏丽 CHEN Yirui;WEI Li(Department of Orthopedics, Chongqing Three Gorges Central Hospital, Chongqing 404000, China)

机构地区：[1]重庆三峡中心医院骨科,重庆404000

出　　处：《中国医药导报》2019年第6期73-76,共4页China Medical Herald

基　　金：重庆市万州区科技计划项目(201403004)

摘　　要：目的探讨钛捆绑带联合髋关节置换术治疗老年股骨粗隆间骨折患者的效果。方法收集2012年12月～2015年11月重庆三峡中心医院80例老年股骨粗隆间骨折患者,按照随机数字表法将80例患者分为试验组(40例,钛捆绑带)及对照组(40例,钢丝环形捆扎)。记录两组患者手术资料。随访18个月,比较两组骨折愈合(Johnerwruh)评分、Harris评分、疼痛视觉模拟评分(VAS)及并发症发生情况。结果试验组平均手术时间、术中失血量、平均住院时间、平均下床活动时间均明显优于对照组(P <0.01);两组术后各时间点的Harris评分、VAS评分均优于本组术前(P <0.01),且试验组术后3～18个月的各评分均明显优于对照组(P <0.01);试验组整体骨折愈合情况明显高于对照组(P <0.01)。对照组7例并发症(周缘骨硬化4例,松动滑脱3例),两组无其他严重并发症,观察组并发症发生率低于对照组(P <0.01)。结论钛捆绑带联合髋关节置换术治疗老年粗隆间骨折患者的长短期疗效均较好,具有临床应用价值。Objective To investigate the effect of titanium binding belt combined with hip replacement in the treatment of elderly patients with intertrochanteric fractures. Methods A total of 80 patients with intertrochanteric fracture of femur from December 2012 to November 2015 in Chongqing Three Gorges Central Hospital were selected and they were divided into test group (n = 40, titanium binding band) and control group (n = 40, steel wire loop strapping) by random number table method. Followed up for 18 months, Johner-wruh scores, Harris scores, visual analogue scale (VAS) and incidence of complications of the two groups were compared. Results The average operation time, intraoperative blood loss, average hospitalization time and average ambulation time in the test group were significantly better than those in the control group (P < 0.01). Harris scores and VAS scores at each time point after operation in both groups were better than those before operation (P < 0.01), and the scores after operation for 3-18 months in the test group were significantly better than those in the control group (P < 0.01). The overall fracture healing rate in the test group was significantly higher than that in the control group (P < 0.01). There were 7 cases with complications in the control group (4 cases of peripheral osteosclerosis and 3 cases of loosening spondylolisthesis). There were no other serious complications in the two groups. And the incidence of complications in the observation group was higher than that in the control group (P < 0.01). Conclusion The long-term and short-term effects of Titanium bandage combined with hip replacement in the treatment of elderly patients with intertrochanteric fractures are good, which has clinical application value.

关 键 词：钛捆绑带 老年 髋关节置换术 骨折 股骨粗隆间 效果 

分 类 号：R687.4[医药卫生—骨科学]