单臂外固定架治疗老年股骨粗隆间骨折的疗效分析

Analysis of the Curative Effect of Single-Arm External Fixator in the Treatment of Intertrochanteric Fracture of Femur in the Elderly

目的:探讨单臂外固定架治疗老年股骨粗隆间骨折的临床效果及应用价值。方法:以本院2018年1月~2019年3月本院收治的老年股骨粗隆间骨折患者60例为对象,随机将60例对象分成两组,各30例。观察组用单臂外固定架治疗,对照组用切开复位内固定治疗,比较两组的围手术指标和关节功能评分。结果:观察组的术中出血量比对照组少,术后3d VAS评分比对照组低,骨折愈合时间比对照组短,P<0.05;两组患者术后4~10周的关节功能评分比较无差异,P>0.05。结论:老年股骨粗隆间骨折采用单臂外固定架治疗的效果显著,不仅能有效改善患者的关节功能,而且术中出血量少,术后疼痛感轻,骨折愈合时间短。

Objective:To investigate the clinical effect and application value of single arm external fixator in the treatment of senile intertrochanteric fracture.Methods:60 elderly patients with intertrochanteric fracture in our hospital from January 2018 to March 2019 were randomly divided into two groups,30 cases in each group.The observation group was treated with single arm external fixator,while the control group was treated with open reduction and internal fixation.The perioperative indexes and joint function scores of the two groups were compared.Results:The intraoperative blood loss of the observation group was less than that of the control group,the VAS score at 3 days after operation was lower than that of the control group,and the fracture healing time was shorter than that of the control group,P<0.05;there was no difference in the joint function score between the two groups 4-10 weeks after operation,P>0.05.Conclusion:The treatment of senile intertrochanteric fractures with single arm external fixator has a significant effect,which can not only effectively improve the joint function of the patients,but also have less intraoperative blood loss,less postoperative pain,and shorter fracture healing time.