股骨近端重建钉和髋滑动加压钢板治疗股骨转子间骨折的临床疗效比较

Clinical Comparison of Reconstruction Intramedullary Nail and Dynamic Hip Compression Plate for the Treatment of Intertrochanteric Fractures of the Femur

目的:比较髋滑动加压钢板与股骨近端重建钉治疗股骨转子间骨折的手术效果。方法:回顾分析409例股骨转子间骨折患者的临床资料,从手术时间、术中出血量、术后血红蛋白值、术后完全负重时间、术后功能恢复程度、术后并发症等方面比较两种内固定方式的疗效差别。分析如何根据骨折类型选择合适内固定器材。结果:与髋滑动加压钢板组相比较,重建钉组手术时间较短、术中出血量少、术后血红蛋白值较高、术后完全负重时间较早、术后功能恢复更好,并发症更少(P<0.05)。结论:对于不稳定股骨转子间骨折的治疗,近端重建钉较髋滑动加压钢板更有优势;而对于稳定转子间骨折,两者疗效相似。

Objective： To compare the clinical outcomes between dynamic hip compression plate and reconstruction intramedullary nail for the treatment of intertrochanteric fractures of the femur.Methods： The clinical data of 409 patients with intero chanteric fracture of the femur were analyzed retrospectively.The surgical time,bleeding,postoperative hemoglobin,full weight bearing time,functional recovery,complications were compared between the 2 groups.Efforts were made to find out the right treatment for individual types of fractures in proximal femur.Results： Significant differences were found（P0.05） in surgical time,bleeding,postoperative hemoglobin,functional recovery,and complications between dynamic hip compression plate and reconstruction intramedullary nail groups.There were shorter surgical time,less bleeding,shorter full weight bearing time,much better functional recovery,and less complications in the reconstruction intramedullary Nail group.Conclusions：For the treatment of intertrochanteric fractures of the femur,reconstruction intramedullary nail is superior than dynamic hip compression plate for unstable types,and the two devices are similar for stable types.