股近骨端旋髓内钉(俯侧卧位、免牵引床)治疗老年股骨粗隆间骨折的有效性及安全性

The efficacy and safety of intramedullary nail of proximal femur (prone and lateral position,traction free bed) in the treatment of intertrochanteric fracture of femur in the elderly

目的:探析股近骨端旋髓内钉(俯侧卧位、免牵引床)治疗老年股骨粗隆间骨折的有效性及安全性。方法:2017年6月-2019年6月收治老年股骨粗隆间骨折患者86例,随机分为两组,各43例。对照组采用动力髋螺钉治疗;观察组采用股近骨端旋髓内钉(俯侧卧位、免牵引床)治疗。比较两组治疗有效性和安全性。结果:观察组治疗优良率高于对照组,并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论:采用股近骨端旋髓内钉(俯侧卧位、免牵引床)治疗老年股骨粗隆间骨折,兼具有效性和安全性。

Objective:To explore the efficacy and safety of intramedullary nail of proximal femur(prone and lateral position,traction free bed)in the treatment of intertrochanteric fracture of femur in the elderly.Methods:From June 2017 to June 2019,86 elderly patients with intertrochanteric fracture of femur were selected and randomly divided into two groups of 43 cases in each.The control group was treated with dynamic hip screw,and the observation group was treated with intramedullary nail of proximal femur(prone and lateral position,traction free bed).We compared the efficacy and safety of the two groups.Results:In the observation group,the excellent rate of treatment was higher than that in the control group,and the incidence of complications was lower than that in the control group;the differences were statistically significant(P<0.05).Conclusion:It was effective and safe of intramedullary nail of proximal femur(prone and lateral position,traction free bed)in the treatment of intertrochanteric fracture of femur in the elderly.