股骨近端抗旋髓内钉内固定术对股骨转子下骨折的治疗效果观察

Observation on Anti-spin Proximal Femoral Intramedullary Nail Fixation for the Treatment of Intertrochanteric Fracture

目的观察股骨近端抗旋髓内钉内固定术对股骨转子下骨折的治疗效果。方法收集股骨转子下骨折患者58例,随机分为观察组(股骨近端抗旋髓内钉内固定术)与对照组(股骨近端锁定钢板固定术)。结果观察组手术时间、术中出血量少于对照组,差异有统计学意义(P<0.05);但两组骨折愈合时间、髋关节功能恢复优良率对比,无统计学差异(P>0.05)。结论股骨近端抗旋髓内钉内固定术在股骨转子下骨折治疗中效果理想。

Objective To observe the anti-spin proximal femoral intramedullary nail fixation for treatment of subtrochanteric fractures. Methods 58 cases of subtrochanteric fractures were randomly divided into observation group（anti-spin proximal femoral intramedullary nail fixation） and control group（proximal femoral locking plate fixation）. Results The operative time, less blood loss in observation group were less than thecontrol group, the difference was significant（P〈0. 05）, but fracture healing time, excellent rate of hip function recovery contrast between two groups had no significant difference（P〈0. 05）. Conclusion The proximal femoral nail anti-rotation fixation in the treatment of intertrochanteric fractures has good effect.