防旋股骨近端髓内钉治疗股骨粗隆骨折的临床疗效观察

TClinical curative effect of proximal femoral nail anti-rotation in treatment of femoral intertrochanteric fracture

目的:探讨防旋股骨近端髓内钉治疗股骨粗隆骨折的临床疗效。方法:回顾性分析我院2009～2012年间收治的82例股骨粗隆骨折患者的临床资料,所有患者均行防旋股骨近端髓内钉治疗,观察手术时间、术中出血量以及骨折愈合时间,评价髋关节功能。结果:本组82例股骨粗隆骨折患者手术平均时间为48.3±8.7分钟,术中平均出血量为74.6±10.8mL,骨折平均愈合时间为10.2±1.3周。术后患者未发生感染、骨折延迟愈合、髋内外翻畸形以及退钉等并发症,Harris评分优良率为92.7%。结论:采用防旋股骨近端髓内钉治疗股骨粗隆骨折临床疗效确切,安全性高,是一种治疗股骨粗隆间不稳定性骨折的理想内固定方式,值得临床推广使用。

Objective： To explore the clinical curative effect of proximal femoral nail anti-rotation in treatment of femoral intertrochanteric fracture. Methods： A retrospective analysis about clinical data of 82 cases with femoral intertrochanteric fracture in our hospital from 2009 to 2012 years was operated, all the patients were treated by femoral nail anti-rotation treatment, observed the operation time, bleeding volume in operation and the fracture healing time, evaluated the hip joint function. Results In the 82 cases with femoral intertrochanteric fracture the average operation time was （48.3± 8.7） min, the average bleeding volume in operation was （74.6 ±10.8）mL, average fracture healing time was （10.2 ±1.3） weeks. There were no infection, delayed healing of fracture, hip varus deformity and nail withdrawing such complications after operation, the excellent and good rate of Harris score was 92.7%. Conclusion： Taking proximal femoral nail anti-rotation in treatment of femoral intertrochanteric fracture had good clinical curative effect, and had high safety, it might be an ideal internal fixation treatment to femoral intertrochanteric fracture, worthy of clinical using.