亚洲型股骨近端防旋髓内钉治疗股骨转子间骨折临床疗效观察

Clinical observation about proximal femoral intramedullary nail on the treatment of intertrochanteric fractures of femur

目的探讨观察亚洲型股骨近端防旋髓内钉治疗股骨转子间骨折的临床效果。方法将25例股骨转子间骨折患者分为两组:对照组采用传统股骨近端防旋髓内钉治疗,观察组采用亚洲型股骨近端防旋髓内钉治疗,对比两组患者的临床治疗效果。结果观察组手术时间、术中透视时间、术后住院时间、骨折愈合时间短于对照组,术中出血量低于对照组,髋关节功能Harris评分优良率高于对照组,以上各指标两组比较差异均有统计学意义(P<0.05)。结论亚洲型股骨近端防旋髓内钉可作为临床治疗股骨转子间骨折的临床治疗优选方案。

Objective To investigate the clinical effect of the proximal femoral intramedullary nail on the treatment of intertrochanteric fractures of femur. Methods Twenty-five patients with intertrochanteric fractures were divided into two groups. The control group was treated with traditional proximal femoral anti-rotation intramedullary nail. The observation group was treated with Asian proximal femoral intramedullary nail. Treatment effect between two groups was compared. Results The operative time,intraoperative fluoroscopy time,postoperative hospital stay and fracture healing time in observation group were shorter than those in the control group. The intraoperative blood loss in observation group was lower than that in the control group. The excellent rate of hip function Harris in observation group was higher than that in the control group. The difference was statistically significant（P0.05）. Conclusion The proximal femoral intramedullary nail can be used as a clinical effective method on the treatment of intertrochanteric fractures.