股骨转子间骨折并小转子骨折对内固定术后康复效果的影响研究  

Study on the effect of intertrochanteric fracture and lesser trochanter fracture on rehabilitation after internal fixation

作　　者：林锴锋 李忠辉[1] 郑艳璇 LIN Kaifeng;LI Zhonghui;ZHENG Yanxuan(Department of Orthopedics,Dongguan Humen Hospital,Dongguan 523900,China)

机构地区：[1]东莞市虎门医院骨科,广东东莞523900 [2]东莞市虎门医院心血管内科,广东东莞523900

出　　处：《医师在线》2024年第11期51-54,共4页Journal of Doctors Online

基　　金：2022年东莞市社会发展科技项目(20221800901852)。

摘　　要：目的探究股骨转子间骨折并小转子骨折对内固定术后康复效果的影响。方法选取2016年3月~2023年8月东莞市虎门医院骨科收治的90例股骨转子间骨折患者,按照是否合并小转子骨折分为合并组和未合并组,每组45例。所有患者均采用股骨近端螺旋刀片抗旋髓内钉(PFNA)内固定术治疗,评估两组患者的骨折复位情况、手术指标、康复指标、髋关节功能及术后并发症发生情况。结果合并组的骨折良好复位率低于未合并组(P<0.05);合并组的手术时间及术中出血量均多于未合并组(P<0.05),两组切口长度比较则无明显差异(P>0.05);合并组的住院时间、骨折愈合时间及扶拐负重时间均长于未合并组(P<0.05);术后12个月、24个月合并组的Harris髋关节评分(HHS)均低于未合并组(P<0.05);合并组的术后并发症总发生率高于未合并组(P<0.05)。结论相较于合并小转子骨折的股骨转子间骨折,未合并小转子骨折患者的骨折复位情况更优、术后恢复更快,且术后并发症更少,有利于髋关节的恢复。Objective To explore the effect of intertrochanteric fracture and lesser trochanter fracture on rehabilitation after internal fixation.Methods A total of 90 patients with intertrochanteric fracture of femur admitted to the Department of Orthopedics in Dongguan Humen Hospital from March 2016 to August 2023 were selected and divided into combined group and non-combined group according to whether they were combined with lesser trochanteric fracture,with 45 cases in each group.All patients were treated with proximal femoral nail anti-rotation blade(PFNA)internal fixation.The fracture reduction,surgical indexes,rehabilitation indexes,hip function and postoperative complications of the two groups were evaluated.Results The incidence of good fracture reduction in the combined group was lower than that in the non-combined group(P<0.05).The operative time and intraoperative blood loss in the combined group were higher than those in the non-combined group(P<0.05),but there was no significant difference in incision length between the two groups(P>0.05).The length of hospital stay,fracture healing time and weight-bearing time of the combined group were longer than those of the non-combined group(P<0.05).The Harris hip scores(HHS)of the combined group were lower than those of the non-combined group at 12 and 24 months after surgery(P<0.05).The total incidence of postoperative complications in the combined group was higher than that in the non-combined group(P<0.05).Conclusion Compared with intertrochanteric fracture combined with lesser trochanter fracture,patients without lesser trochanter fracture have better fracture reduction,faster postoperative recovery,and fewer postoperative complications,which is conducive to hip recovery,.

关 键 词：股骨转子间骨折 小转子骨折 内固定术 康复效果 

分 类 号：R687.3[医药卫生—骨科学]