Russell-Taylor分型在股骨粗隆下骨折内固定术中的应用研究  

Application of Russell-Taylor classification in internal fixation of subtrochanteric fracture of femur

作　　者：温文伟 WEN Wen-wei(Orthopaedic Surgery,Sanming First Hospital Affiliated to Fujian Medical University,Sanming 365000,China)

机构地区：[1]福建医科大学附属三明第一医院骨外科,福建三明365000

出　　处：《吉林医学》2020年第5期1059-1061,共3页Jilin Medical Journal

摘　　要：目的:讨论Russell-Taylor分型在股骨粗隆下骨折手术治疗中的意义。方法:收集62例股骨粗隆下骨折手术患者,采用股骨近端交锁髓内钉(proximal femoral nail antirotation,PFNA) 32例,采用股骨近端解剖锁定接骨板(anatomic proximal femoral locking plate,APFLP)30例。之后对比两者的手术时间、术中出血量、术后并发症及髋关节功能活动Harris评分情况。结果:PFNA组平均手术时间短于APFLP组,平均出血量多于APFLP组,差异有统计学意义(P<0.05),两组在术后并发症及功能恢复情况方面差异均无统计学意义(P>0.05)。结论:对于大多数股骨粗隆下骨折来说,髓内钉固定是标准的治疗方法,但随着固定材料与手术技术的发展,髓外接骨板固定也能达到很好的治疗效果,Russell-Taylor分型尝试指导内固定方式的选择。Objective To discuss the significance of Russell-Taylor classification in the surgical treatment of subtrochanteric fracture of femur.Method 62 patients with femoral subtrochanteric fracture were treated with proximal femoral nail antirotation(PFNA) in 32 cases and anatomic proximal femoral locking plate(APFLP) in 30 cases. The operation time, intraoperative bleeding volume, postoperative complications and Harris score of hip function were compared between the two groups.Results The average operation time of PFNA group was shorter than that of APFLP group, and the average amount of bleeding was more than that of APFLP group(P<0.05). There was no significant difference in postoperative complications and functional recovery between the two groups(P>0.05).Conclusion For most femoral subtrochanteric fractures, intramedullary nail fixation is the standard treatment method, but with the development of fixation materials and surgical technology, extramedullary plate fixation can also achieve good therapeutic effect. Russell-Taylor classification tries to guide the choice of internal fixation methods.

关 键 词：股骨粗隆下骨折 Russell-Taylor分型 内固定选择 

分 类 号：R687.3[医药卫生—骨科学]