股骨转子下长螺旋形骨折采用髓内钉结合钢缆环扎治疗的临床前瞻性分析  

Clinical Prospective Analysis of Intramedullary Nail Combined with Steel Cable Cerclage in the Treatment of Femoral Subtrochanteric Long Spiral Fracture

作　　者：王伟 刘丽 WANG Wei;LIU Li(Hospital Infection Management Office,Jinan Seventh People's Hospital,Jinan 250101,Shandong,China;Department of Hemodialysis,Jinan Seventh People's Hospital,Jinan 250101,Shandong,China)

机构地区：[1]济南市第七人民医院医院感染管理办公室,山东济南250101 [2]济南市第七人民医院血液透析科,山东济南250101

出　　处：《世界复合医学(中英文)》2025年第2期99-103,共5页World Journal of Complex Medicine

摘　　要：目的前瞻性分析股骨转子下长螺旋形骨折采用髓内钉结合钢缆环扎治疗的临床效果。方法选取2020年1月—2022年12月济南市第七人民医院收治的100例股骨转子下长螺旋形骨折患者为研究对象,按治疗方法不同分为对照组与研究组,各50例。对照组实施髓内钉结合钛缆环扎术,研究组实施髓内钉结合钢缆环扎术,两组术后均随访6个月。比较两组术中指标、术后随访并发症发生情况、术后随访恢复时间、术后随访髋关节功能与活动度。结果两组术中耗时与失血量比较,差异均无统计学意义(P均>0.05)。术后随访6个月以来研究组并发症发生率为0,低于对照组的8.00%(4/50),差异有统计学意义(P=0.041)。术后随访6个月以来研究组拄双拐不负重下地时间、拄单拐部分负重时间、骨折完全愈合时间均短于对照组,差异均有统计学意义(P均<0.05)。术后随访6个月以来研究组髋关节功能评分、髋关节屈曲活动度、髋关节内收活动度均优于对照组,差异均有统计学意义(P均<0.05)。结论股骨转子下长螺旋形骨折采用髓内钉结合钢缆环扎治疗,有助于减少术后并发症,促使患者髋关节功能与活动度恢复,提高康复效率与治疗效果。Objective Prospective analysis of the clinical effect of intramedullary nail combined with steel cable cerclage in the treatment of femoral subtrochanteric long spiral fracture.Methods A total of 100 patients with femoral subtrochanteric long spiral fracture admitted to Jinan Seventh People's Hospital from January 2020 to December 2022 were selected as the research objects.According to different treatment methods,they were divided into control group and study group,with 50 cases in each group.The control group was treated with intramedullary nail combined with titanium cable cerclage,and the study group was treated with intramedullary nail combined with steel cable cerclage.Both groups were followed up for 6 months.Intraoperative indicators,postoperative follow-up complications,postoperative follow-up recovery time,postoperative follow-up hip function and activity were compared between the two groups.Results There were no significant differences in intraoperative time and blood loss between the two groups(both P>0.05).After 6 months of follow-up,the incidence of complications in the study group was 0,which was lower than 8.00%(4/50)in the control group,and the difference was statistically significant(P=0.041).After 6 months of follow-up,the time of non-weight-bearing with double crutches,the time of partial weight-bearing with single crutches and the time of complete fracture healing in the study group were shorter than those in the control group,and the differences were statistically significant(all P<0.05).After 6 months of follow-up,the hip function score,hip flexion activity and hip adduction activity of the study group were better than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion The treatment of femoral subtrochanteric long spiral fracture with intramedullary nail combined with steel cable cerclage is helpful to reduce postoperative complications,promote the recovery of hip joint function and activity,and improve rehabilitation efficiency and treatment

关 键 词：髓内钉结合钢缆环扎 髓内钉结合钛缆环扎 股骨转子下长螺旋形骨折 

分 类 号：R68[医药卫生—骨科学]