仰卧位牵引床牵引与半截石位布朗架骨牵引在股骨粗隆间骨折患者PFNA内固定术前的应用对比  

Comparison of application of supine traction bed traction and half lithotomy position Brown frame bone traction before PFNA internal fixation in patients with intertrochanteric fracture of femur

作　　者：董光友 Dong Guang-you(Ruichang People's Hospital Orthopedics Department,Ruichang 332200,Jiangxi,China)

机构地区：[1]瑞昌市人民医院骨科,江西瑞昌332200

出　　处：《四川生理科学杂志》2024年第10期2205-2207,2299,共4页

摘　　要：目的:探讨仰卧位牵引床牵引与半截石位布朗架骨牵引两种不同牵引方式在股骨粗隆间骨折(Intertrochanteric Fracture Of Femur,IFOF)患者股骨近端防旋髓内钉(Proximal Femoral Nail Anti-rotation,PFNA)内固定术前的应用效果。方法:选取本院2023年1月至2024年1月IFOF患者60例,按照随机信封法将其分为A、B两组,每组30人,A组术前采取仰卧位,实施牵引床牵引,B组术前采取半截石位,实施布朗架骨牵引。比较两组患者手术情况、骨折关节恢复情况以及术后3 m内不良情况。结果:B组患者的手术时间、术中出血量、术中透视次数、下床活动时间以及骨折愈合时间皆短于A组(P<0.05);在接受治疗后,两组患者髋关节功能(Harris Hip Score,Harris)总评分比治疗前高,且B组比A组高(P<0.05);两组术后不良情况对比无统计学差异(P>0.05)。结论:相较于仰卧位牵引床牵引,半截石位布朗架骨牵引在IFOF患者PFN内固定术前的应用效果更好,能够改善患者手术情况,促进患者关节功能恢复能力,值得在临床上推广使用。Objective:To explore and compare the application efficacy of two different traction methods of supine traction bed traction and half lithotomy position Brown frame bone traction on patients with intertrochanteric fracture of femur(Intertrochanteric Fracture Of Femur,IFOF)before proximal femoral nail anti-rotation(Proximal Femoral Nail Anti-rotation,PFNA)internal fixation.Methods:60 patients with IFOF in the hospital were selected from January 2023 to January 2024,and were divided into group A and group B by the random envelope method,30 cases in each group.Group A was treated with supine traction bed traction before surgery,whereas group B adopted Brown frame bone traction in half lithotomy position before surgery.The surgical conditions,hip function(Harris Hip Score,Harris)score and postoperative adverse conditions within 3 months after surgery were compared between groups of patients.Results:The surgical time,intraoperative blood loss,intraoperative fluoroscopy frequency,ambulation time and fracture healing time in group B were shorter or less than those in group A(P<0.05).After treatment,the total Harris score in both groups was higher than that before treatment,and the score in group B was higher than that in group A(P<0.05).There were no statistical differences in postoperative adverse conditions between the two groups(P>0.05).Conclusion:Compared with supine traction bed traction,half lithotomy position Brown frame bone traction has better application effect on IFOF patients before PFN internal fixation,and the latter one can better improve the surgical conditions and promote the recovery ability of joint function of patients.

关 键 词：仰卧位牵引床牵引 半截石位布朗架骨牵引 股骨粗隆间骨折 

分 类 号：R687.3[医药卫生—骨科学]