Gamma 钉与 InterTAN 治疗股骨转子间骨折

Analysis of curative effect of Gamma nail and InterTAN in therapy of intertrochanteric fractures

目的：观察 Gamma 钉与 InterTAN 治疗股骨转子间骨折的临床疗效。方法选取2012年9月至2014年12月，对运用 Gamma 钉与 InterTAN 两种不同器械治疗股骨转子间骨折118例患者的资料进行回顾性分析，术后平均随访11.3个月，并对照评估两组患者术后负重时间、术后并发症、手术时间、术中出血量、术后骨折愈合时间、髋关节 Harris 评分标准等。结果 InterTAN 组手术时间、术中出血量明显低于 Gamma 钉组（P ＜0.05），In-terTAN 组髋关节 Harris 评分高于 Gamma 钉组（P ＜0.05），InterTAN 组术后负重时间、术后骨折愈合时间与 Gamma钉组比较差异未见统计学意义（P ＞0.05）。结论 InterTAN 治疗股骨转子间骨折比 Gamma 钉有更多的优越性。

Objective To observe the clinical efficacy of Gamma nail and InterTAN on intertro-chanteric fractures. Methods From September 2012 to December 2014,the data of 118 patients with intertrochanteric fractures who were treated by Gamma nail and InterTAN were respectively reviewed. The average followed-up period was 11. 3 months and the weight loading time,the complications,the average operation time,intraoperative blood loss,clinical healing time,and Harris hip score in two groups were evaluated and compared. Results The operation time,intraoperative blood loss and the complications of InterTAN group were significantly lower than those of Gamma nail group（ P 〈 0. 05）;The Harris hip score of InterTAN group was significantly higher than that of Gamma nail group（P 〈 0. 05）. There was no significant difference in fracture clinical healing time and the weight loading time between the two groups （P 〉 0. 05）. Conclusions For the intertrochanteric fractures,Gamma nail and InterTAN can be used, but InterTAN is the better choice of intramedullary nail in intertrochanteric fractures treatment.