髓外与髓内固定系统应用于老年股骨转子间骨折治疗的价值分析

Analysis of the Value of Extramedullary and Intramedullary Fixation Systems in the Treatment of Intertrochanteric Fractures in Elderly

目的:对髓外与髓内固定系统治疗老年股骨转子间骨折的临床疗效进行分析。方法:随机抽取2017年2月—2020年2月西南医科大学附属中医医院收治106例老年股骨转子间骨折患者作为研究对象,根据计算机分组法将其分为对照组(外固定治疗)和实验组(内固定治疗),每组各53例,比较两组患者治疗效果。结果:实验组患者切口长度、手术时间、出血量、功能训练时间、愈合时间、住院时间均比对照组低,差异有统计学意义(t=5.011、8.044、36.621、4.961、4.061、4.215,P<0.05);实验组患者踝关节功能评分比对照组高,差异有统计学意义(t=7.621、4.638、4.090、7.347、5.936,P<0.05)。结论:与髓外固定系统比较,髓内固定系统治疗老年股骨转子间骨折更有优势,利于骨折恢复、提高踝关节功能,具有推广与应用价值。

Objective:To analyze the clinical efficacy of extramedullary and intramedullary fixation systems for the treatment of elderly femoral intertrochanteric fractures.Methods:106 elderly patients with intertrochanteric fractures in the hospital from 2017 to February 2020 were randomly selected as the subjects,they were divided into control group(external fixation treatment)and experimental group(internal fixation treatment),with 53 cases in each group.The treatment effect was compared.Results:The length of incision,operation time,blood loss,functional training time,healing time and hospital stay in the experimental group were lower than those in the control group,with statistically significant difference(t=5.011,8.044,36.621,4.961,4.061,4.215,P<0.05).The ankle joint function score of the experimental group was higher than that of the control group,with statistically significant difference(t=7.621,4.638,4.090,7.347,5.936,P<0.05).Conclusion:Compared with the extramedullary fixation system,the intramedullary fixation system has more advantages in the treatment of elderly femoral intertrochanteric fractures,which is beneficial to fracture recovery and ankle joint function.It has promotion and application value.