摘要
目的:探究并观察改良股骨近端锁定钢板与亚洲型防旋股骨近端髓内钉治疗老年A2型股骨转子间骨折的疗效。方法:回顾性分析我院2017年12月~2020年10月收治的90例接受改良股骨近端锁定钢板或亚洲型防旋股骨近端髓内钉治疗的老年A2型股骨转子间骨折患者临床资料,按其治疗方式分为钢板组和髓内钉组,其中钢板组40例患者采用改良股骨近端锁定钢板内固定治疗,髓内钉组50例患者采用亚洲型防旋股骨近端髓内钉内固定治疗,参考VAS评分法测评患者术后疼痛情况,采用Harris量表评价患者髋关节功能,记录、检测对比两组患者围手术指标、髋关节疗效优良率以及并发症发生率。结果:治疗后钢板组患者围术期指标中术中失血量显著高于髓内钉组、术中透视时间明显短于髓内钉组;治疗后3个月、6个月两组患者髋关节康复效果、髋关节功能评分差异均无统计学意义;钢板组患者并发症发生率明显低于髓内钉组。结论:对于治疗老年A2型股骨转子间骨折,改良股骨近端锁定钢板与亚洲型防旋股骨近端髓内钉相比,二者均能有效的增加固定的可靠性,均能较好的治疗老年A2型股骨转子间骨折,但改良股骨近端锁定钢板具有更低的并发症发生率。
Objective Explore and observe the effect of modified proximal femoral locking plate and Asian anti-rotation proximal femoral nail in the treatment of A2 type intertrochanteric fractures in the elderly.Methods To retrospectively analyze the clinical data of 90 elderly patients with type A2 femoral intertrochanteric fractures treated with modified proximal femoral locking plates or Asian anti-rotation proximal femoral nails treated in our hospital from December 2017 to October 2020,according to The treatment methods are divided into plate group and intramedullary nail group.Among them,40 patients in the plate group were treated with modified proximal femoral locking plate internal fixation,and 50 patients in the intramedullary nail group were treated with Asian anti-rotation proximal femoral nail internal fixation.For treatment,refer to the VAS scoring method to evaluate the postoperative pain of the patients,use the Harris scale to evaluate the hip joint function of the patients,record,test and compare the perioperative indicators of the two groups of patients,good and good rate of hip joint curative effect,and complication rate.Results After treatment,the perioperative blood loss in the steel plate group was significantly higher than that of the intramedullary nail group,and the intraoperative fluoroscopy time was significantly shorter than that of the intramedullary nail group;3 months after treatment,There was no significant difference in hip rehabilitation effect and hip function scores between the two groups at 6 months;the incidence of complications in the steel plate group was significantly lower than that in the intramedullary nail group.Conclusion For the treatment of elderly A2 femoral intertrochanteric fractures,the modified proximal femur locking plate is compared with the Asian anti-rotation proximal femoral nail,both of which can effectively increase the reliability of fixation,and both can better treat elderly A2 Type of femoral intertrochanteric fractures,but the modified proximal femoral locking plate has a lower complication rate.
作者
丁晖原
陈旭
方英磊
李久源
刘冰
王小合
Ding Hui-yuan;Chen Xu;Fang Ying-lei;Li Jiu-yuan;Liu Bing;Wang Xiao-he(Department of Orthopedics,Bozhou Hospital Affiliated to Anhui Medical University,Bozhou 236800,China;Department of Orthopedics,Wuxi Branch of Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Wuxi 214000,China)
出处
《晓庄学院学报（医学版）》
2022年第4期119-122,共4页
Journal of Hunan Normal University(Medical Sciences)
关键词
改良股骨近端锁定钢板
亚洲型防旋股骨近端髓内钉
老年A2型股骨转子间骨折
髋关节功能
modified proximal femoral locking plate
Asian anti-rotation proximal femoral nail
elderly type A2 femoral intertrochanteric fractures
hip joint function
