顶棒支撑法复位髓内钉固定治疗难复性股骨转子间骨折的临床效果  

Clinical Effect of Reduction and Intramedullary Nail Fixation with Rod Supportin Treatment of Refractory Intertrochanteric Fracture of Femur

作　　者：王挺[1] 王华磊[1] 郭雄飞[1] WANG Ting;WANG Hualei;GUO Xiongfei(Department of Orthopaedics,Nanyang Central Hospital,Nanyang 473000,China)

机构地区：[1]南阳市中心医院骨一科,河南南阳473000

出　　处：《河南医学研究》2024年第7期1284-1287,共4页Henan Medical Research

摘　　要：目的分析顶棒支撑法复位髓内钉固定治疗难复性股骨转子间骨折的临床效果。方法于2020年8月至2022年8月在南阳市中心医院收集病例展开研究,将严格按照纳排标准筛选的106例难复性股骨转子间骨折患者作为研究对象,根据随机数字表法分为研究组与对照组,各53例。对照组接受切开或有限切开复位结合髓内钉固定治疗,研究组接受顶棒支撑法复位髓内钉固定。统计对比两组患者围手术期情况、骨折复位质量、术后恢复情况;对比两组患者术前、术后6个月髋关节功能评分;对比两组并发症发生率。结果研究组手术时间、骨折复位时间较对照组短,手术出血量较对照组少(P<0.05)。研究组骨折复位质量优于对照组(P<0.05)。研究组骨折愈合、开始负重和住院时间较对照组短(P<0.05)。术后6个月,两组髋关节功能评分均较术前提高,研究组高于对照组(P<0.05)。研究组并发症发生率[5.66%(3/53)]较对照组[18.87%(10/53)]低(P<0.05)。结论采用顶棒支撑法复位髓内钉固定治疗难复性股骨转子间骨折可减轻对机体的创伤,降低并发症发生率,提高复位效果,促进骨折愈合和髋关节功能恢复。Objective To analyze the clinical effect of reduction and intramedullary nail with rod support in the treatment of refractory intertrochanteric fracture of femur.Methods From August 2020 to August 2022,patients were collected in Nanyang Central Hospital for research.A total of 106 patients with refractory intertrochanteric fracture of femur who were strictly screened according to the exclusion criteria were selected as research objects.According to the random digitization method,they were divided into study group and control group,with 53 cases in each group.The control group was treated with open reduction or limited open reduction combined with intramedullary nailing,and the study group was treated with top rod support method.The perioperative situation,fracture reduction quality and postoperative recovery of the two groups were statistically compared.The hip function scores before and 6 months after operation were compared between the two groups.The complication rate of the two groups was compared.Results The operation time and fracture reduction time in the study group were shorter than those in the control group,and the amount of bleeding was less(P<0.05).The reduction quality of fracture in the study group was better than that in the control group(P<0.05).The fracture healing,weight-bearing time and hospital stay time of the study group were shorter than those of control group(P<0.05).Six months after surgery,the hip function scores in both groups were higher than those before surgery,and the study group was higher than the control group(P<0.05).The complication rate of the study group[5.66%(3/53)]was lower than that of the control group[18.87%(10/53)](P<0.05).Conclusion The reduction and fixation of refractory intertrochanteric fracture with intramedullary nail using rod support method can reduce the trauma to the body,reduce the incidence of complications,improve the reduction effect,promote fracture healing and hip functional recovery.

关 键 词：难复性股骨转子间骨折 顶棒支撑法 复位 髓内钉固定 

分 类 号：R687.3[医药卫生—骨科学]