InterTan髓内钉治疗老年不稳定型骨质疏松性股骨转子间骨折的近期疗效

Preliminary clinical effect of the elderly unstable osteoporotic femoral intertrochanteric fractures treated with Inter Tan intramedullary nail

目的探讨Inter Tan髓内钉治疗不稳定型老年骨质疏松性股骨转子间骨折的近期临床疗效。方法采用Inter Tan髓内钉治疗64例老年不稳定型骨质疏松性股骨转子间骨折患者,对术后并发症、Harris髋关节评分等情况进行评估。结果 64例均获得随访,时间6～18(9.3±0.46)个月。骨折均愈合。末次随访Harris评分为60～96(86.76±4.57)分,优37例,良15例,可9例,差3例,优良率为81.25%。结论 Inter Tan髓内钉治疗老年不稳定型骨质疏松性股骨转子间骨折的效果良好,骨折愈合率高,并发症少。

Objective To investigate the short-term clinical results of Inter Tan intramedullary nail for elderly unstable osteoporotic femoral intertrochanteric fractures. Methods The 64 elderly patients with unstable osteoporotic femoral intertrochaneric fracture were treated with Inter Tan intramedullary nail. The complications,Harris hip score were evaluated. Results The follow-up time was 6 ～ 18（ 9. 3 ± 0. 46） months. All fractures healed. At the last follow-up,the Harris hip score was 60 ～ 96（ 86. 76 ± 4. 57） points,the result was excellent in 37 cases,good in 15 cases,fair in 9,poor in 3,the excellent and good rate was 81. 25%. Conclusions The Inter Tan intramedullary nail is effective for treating elderly unstable osteoporotic femoral intertrochanteric fractures with good results,less complications,and high union rate.