应用股骨近端防旋髓内钉治疗股骨转子下骨折的临床分析

Use of Proximal Femoral Rotation Intramedullary Nail in the Treatment of Femoral Subtrochanteric Fracture Analysis

目的研究股骨近端防旋髓内钉治疗股骨转子下骨折的临床疗效。方法整群选取该院在2013年6月—2014年6月间收治的78例股骨转子下骨折患者的临床资料,根据数字随机分组法原则,将患者分为两组,每组39例病例。对照组给予动力髋螺钉固定,观察组给予股骨近端防旋髓内钉固定,比较两组患者的骨折愈合时间、髋关节功能恢复情况与并发症发生率。结果①观察组髋关节恢复优良率为87.18%,对照组髋关节恢复优良率为66.67%。观察组恢复优良率更高,对比差异有统计学意义(P<0.05);②观察组的骨折部位愈合时间明显短于对照组,两组对比差异有统计学意义(P<0.05);③观察组的股骨颈缩短、髋内翻发生率均低于对照组,对比差异具有统计学意义(P<0.05)。结论通过给予股骨近端防旋髓内钉对股骨转子下骨折患者进行内固定,可以促进骨折部位的愈合,降低并发症发生率,值得临床推广应用。

Objective To study the femoral proximal anti rotary intramedullary nailing for femoral subtrochanteric fractures of the clinical curative effect. Methods Select our hospital from June 2013 to June 2014 were of the clinical data of 78 patients with femoral subtrochanteric fractures, according to the principle of digital random grouping, divided the patients into two groups, each group of 39 cases. The control group gives the dynamic hip screw fixation, observation group was given proximal femoral in-tramedullary nail fixation, prevention compared two groups of patients with fracture healing time, hip function recovery and com-plications.Results①To observe group hip recovery was 87.18%, the control of hip recovery was 66.67%. Recovery was higher, the observation group contrast there is statistical significance （P〈0.05）. ②A fracture healing time of observation group was obviously shorter than the control group, compared the two groups was statistically significant （P〈0.05）.③Group of the femoral neck short-ened, and the incidence of hip varus were lower than the control group, compared with statistical significance （P〈0.05）. Conclusion By giving the proximal femoral anti rotary intramedullary nail internal fixation of femoral subtrochanteric fractures patients, can promote the healing of fracture, reduce the incidence of complications, worthy of clinical popularization and application.