短重建髓内钉在高龄股骨粗隆间骨折的临床应用

The clinical application of short reconstruction intramedullary nailing for intertrochanteric femoral fracture in the elderly

目的探讨短重建髓内钉治疗老龄患者股骨粗隆间骨折的临床应用。方法 2006年7月至2010年3月间,使用短重建髓内钉内固定手术治疗56例股骨粗隆间骨折老龄患者,分析评价其特点及治疗效果。结果手术切口平均长度为3.5cm,平均手术时间70min,平均术中出血量60ml;所有患者均获得术后随访。术后无深静脉血栓和伤口感染等并发症,1例术后第5周出现股骨钉松脱;1例术后17个月发生骨不连,需行切开植骨术。结论短重建髓内钉治疗股骨粗隆间骨折具有手术耗时少,组织创伤小,术后内固定稳定性强,围手术期并发症少,患肢功能恢复快等优点,应成为治疗老龄股骨粗隆间骨折的首选内固定方法。

Objective To explore the clinical application of short reconstruction intramedullary nailing for intertrochanteric femoral fracture in the elderly. Methods From July 2006 to March 2010, 56 cases of inter- troehanteric femoral fracture were given short reconstruction intramedullary nailing, the effect and characteristic were analyzed. Results The average length of incision was 3.5cm, average operation time was 70rain, the times of laparoscopic operation was 60ml. All patients were followed up. No infection and deep venous thrombosis occurred. 1 case happened femoral nailing loose on fifth week. After 17 months, 1 case happened nonunion, needed to give bone grafting. Conclusion The short reconstruction intramedullary nailing for intertrochanteric femoral fracture have advantages of less time consuming, slighter wound, strong stability, less complications and the quick recovery of function. It is the preferred method treatment of intertrochanteric femoral fracture in the elderly.