InterTan髓内钉联合新型康复训练治疗股骨粗隆间骨折的临床疗效  

Clinical efficacy of InterTan intramedullary nail combined with new the rehabilitation training on intertrochanteric fracture of femur

作　　者：严正强 赵巍[1] 王菲菲 蔡鹏飞[1] YAN Zhengqiang;ZHAO Wei;WANG Feifei;CAI Pengfei(Department of Traumatic Orthopedics,Jinhua Municipal Central Hospital,Jinhua 321000,Zhejiang,China)

机构地区：[1]金华市中心医院创伤骨科,浙江金华321000

出　　处：《中国现代医生》2025年第7期28-31,共4页China Modern Doctor

基　　金：金华市中心医院中青年科研启动基金项目(JY2023-2-10)。

摘　　要：目的探讨InterTan髓内钉联合术后臀肌结合平衡能力训练治疗老年股骨粗隆间骨折的临床疗效。方法选取2022年9月至2023年9月金华市中心医院收治的老年股骨粗隆间骨折患者60例,根据随机数字表法将其分为对照组和观察组,每组30例。对照组患者采用InterTan髓内钉手术及常规康复训练,观察组患者在对照组的基础上增加臀肌结合平衡能力训练。比较两组患者的Harris髋关节评分、日常生活活动(activity of daily living,ADL)评分及并发症发生率。结果术后1、3、6个月,观察组患者的Harris髋关节评分、ADL评分均显著高于对照组(P<0.05);观察组患者的术后并发症发生率显著低于对照组(χ^(2)=3.750,P=0.046)。结论InterTan髓内钉联合术后臀肌结合平衡能力训练治疗老年股骨粗隆间骨折具有良好的临床疗效。Objective To investigate the clinical effect of InterTan intramedullary nail combined with gluteal muscle and balance training in the treatment of elderly patients with intertrochanteric fracture of femur.Methods Sixty elderly patients with intertrochanteric fracture of femur admitted to Jinhua Municipal Central Hospital from September 2022 to September 2023 were selected and divided into control group and observation group according to random number table method,with 30 cases in each group.The control group received InterTan intramedullary nail surgery and routine rehabilitation training,and the observation group received gluteal muscle and balance training on the basis of control group.The Harris hip score,activity of daily living(ADL)score and complication rate were compared between two groups.Results At 1,3 and 6 months after operation,the Harris hip score and ADL score of observation group were significantly higher than those of control group(P<0.05).The incidence of postoperative complications in observation group was significantly lower than that in control group(χ^(2)=3.750,P=0.046).Conclusion InterTan intramedullary nail combined with gluteal muscle and balance training after operation has a good clinical effect in the treatment of elderly patients with intertrochanteric fracture of femur.

关 键 词：股骨粗隆间骨折 InterTan髓内钉 臀肌训练 平衡能力训练 老年人 

分 类 号：R683.42[医药卫生—骨科学]