锁定钢板与股骨近端髓内钉治疗老年股骨粗隆间骨折的疗效比较

Treatment of Intertrochanteric Femoral Intertrochanteric Fracture with Locking Plate and Proximal Femur Intramedullary Nail

目的探究锁定钢板与股骨近端髓内钉治疗老年股骨粗隆间骨折的临床疗效。方法选取本院收治的老年股骨粗隆间骨折患者98例,按随机数表法平均分为两组,对照组患者行锁定钢板治疗,观察组患者行股骨近端髓内钉治疗,对比两组患者的手术指标及髋关节功能。结果观察组患者的手术时间短于对照组,切口长度小于对照组,术中出血量、术后引流量均少于对照组,差异显著(P<0.05);观察组患者的疼痛、功能、畸形、活动度评分均高于对照组,差异显著(P<0.05)。结论股骨近端髓内钉治疗老年股骨粗隆间骨折患者,可显著优化各项手术指标,改善髋关节功能,值得推广应用。

Objective To explore the clinical efficacy of locking plate and proximal femoral nail in the treatment of intertrochanteric fractures in the elderly. Methods A total of 98 elderly patients with femoral intertrochanteric fractures were selected and randomly divided into two groups according to the random number table. Patients in the control group underwent locking plate therapy. The patients in the observation group were treated with proximal femur nail. Patient's surgical parameters and hip function. Results The operation time of the observation group was shorter than that of the control group, the length of the incision was shorter than that of the control group, and the amount of bleeding and postoperative drainage was less than that of the control group(P<0.05). The pain, function, deformity, and activity score were higher than the control group, the difference was significant(P<0.05). Conclusion The proximal femoral intramedullary nail in the treatment of elderly patients with intertrochanteric fractures, can significantly optimize the various surgical indicators, improve hip function, it is worth promoting the application.