股骨近端抗旋髓内钉内固定治疗股骨转子下骨折的方法及疗效观察

Treatment of Subtrochanteric Fractures of the Femur with Proximal Femoral Nail Fixation and Its Therapeutic Effect

目的:探讨对股骨转子下骨折患者采用股骨近端抗旋髓内钉内固定方法及其临床效果。方法:选择2016年1月~2018年6月本院收治股骨转子下骨折患者84例为研究对象,随机分为采用股骨近端膨胀髓内钉治疗对照组(n=42)与采用股骨近端抗旋髓内钉内固定治疗观察组(n=42),对比治疗效果。结果:观察组患者骨折愈合时间、下床时间与对照组相比无显著差异,P>0.05,术中耗时以及术中出血量小于对照组,P<0.05。观察组Harris评分高于对照组,P<0.05。结论:对股骨转子下骨折患者采用股骨转子下骨折方案治疗效果理想,操作简单,术中出血量少,且患者术后恢复良好。

Objective: To investigate the use of proximal femoral anti-rotation intramedullary nailing in patients with subtrochanteric fractures of the femur and its clinical effects. Methods: Eighty-four patients with subtrochanteric fractures of the femur from January 2016 to June 2018 were enrolled in the study. They were randomly divided into the treatment group(n=42) with proximal femoral intramedullary nail and the proximal femur. Anti-rotating intramedullary nailing treatment group(n=42), comparing the therapeutic effect. Results: There was no significant difference in fracture healing time and bed-time between the experimental group and the control group, P>0.05. The intraoperative time and intraoperative blood loss were less than the control group, P<0.05. The Harris score of the experimental group was higher than that of the control group, P<0.05. Conclusion: The treatment of femoral subtrochanteric fractures with subtrochanteric fractures is ideal, simple operation, less intraoperative blood loss, and good postoperative recovery.