股骨近端防旋髓内钉和InterTan髓内钉固定治疗老年股骨转子间骨折的临床效果分析  

Clinical Effectiveness Analysis of Proximal Femoral Nail Anti-Rotation and InterTan Intramedullary Nail Fixation in the Treatment of Intertrochanteric Femoral Fractures in the Elderly

作　　者：姚帅辉[1] 韩嵘灿 高军胜[1] 佘恒 赵晓 朱俊[2] YAO Shuaihui;HAN Rongcan;GAO Junsheng;SHE Heng;ZHAO Xiao;ZHU Jun(Department of Orthopedics I,Zhengzhou People's Hospital,Zhengzhou Henan 450003,China;Department of Traumatic Orthopedics,Zhengzhou People's Hospital,Zhengzhou Henan 450003,China)

机构地区：[1]郑州人民医院骨一科,河南郑州450003 [2]郑州人民医院创伤骨科,河南郑州450003

出　　处：《临床研究》2025年第4期51-54,共4页Clinical Research

基　　金：河南医学科技攻关计划(LHGJ20210694)。

摘　　要：目的探讨使用股骨近端防旋髓内钉(PFNA)和InterTan髓内钉固定治疗老年股骨转子间骨折的临床疗效。方法选取2020年1月至2024年6月在郑州人民医院骨科收治的股骨转子间骨折患者65例的临床资料进行回顾性研究,根据实施不同内固定方式,35例实施PFNA固定为PETA组,30例实施InterTan髓内钉固定方式为InterTan组。记录两组手术指标、术后疼痛、关节功能评价差异进行比较分析。结果PETA组患者手术时间、术后首次下床时间、住院时间均短于InterTan组,术中出血量、术后引流量均低于InterTan组,差异均有统计学意义(P<0.05)。在术后不同时间段(1 d、3 d、7 d),针对疼痛程度评分PETA组患者低于InterTan组,差异均有统计学意义(P<0.05)。手术前,两组患者关节功能评分差异无统计学意义(P>0.05),两组患者术后1个月、2个月,PETA组关节功能评分均高于InterTan组,差异均有统计学意义(P<0.05)。结论股骨近端防旋髓内钉(PFNA)和InterTan髓内钉固定均可用于治疗老年股骨转子间骨折患者,可获得可靠的稳定性,早期进行功能锻炼,但股骨近端防旋髓内钉(PFNA)固定具有微创、术后康复快等优势。Objective To investigate the clinical efficacy of using Proximal Femoral Nail Anti-Rotation(PFNA)and InterTan intramedullary nails in the fixation treatment of intertrochanteric femoral fractures in elderly patients.Methods A retrospective study was conducted on the clinical data of 65 patients with intertrochanteric femoral fractures treated at Zhengzhou People's Hospital from January 2020 to June 2024.Based on the different fixation methods employed,35 patients underwent PFNA fixation and were assigned to the observation group,while 30 patients underwent InterTan nail fixation and were assigned to the control group.Surgical indicators,postoperative pain,and joint function evaluations were recorded and compared between the two groups.Results The observation group had shorter surgical times,earlier time to first ambulation after surgery,and shorter hospital stays compared to the control group.Intraoperative blood loss and postoperative drainage volumes were also lower in the observation group,with statistically significant differences(P<0.05).After surgery,the pain scores at different time points(1 day,3 days,7 days)for the observation group were lower than those for the control group,showing statistical significance(P<0.05).Before surgery,there was no statistically significant difference in joint function scores between the two groups(P>0.05).However,the joint function scores in the observation group at 1 month and 2 months post-surgery were higher than those in the control group,with statistically significant differences(P<0.05).Conclusion Both Proximal Femoral Nail Anti-Rotation(PFNA)and InterTan intramedullary nail fixation can be used effectively for treating intertrochanteric femoral fractures in elderly patients,providing reliable stability and allowing for early functional rehabilitation.However,PFNA fixation has advantages in being minimally invasive and facilitating quicker postoperative recovery.

关 键 词：股骨转子间骨折 PFNA INTERTAN 关节功能 疼痛 生活质量 

分 类 号：R322.72[医药卫生—人体解剖和组织胚胎学]