摘要
目的:探讨股骨近端防旋髓内钉治疗老年A3型股骨粗隆间骨折的效果及对Harris评分的影响。方法:选取2018年5月-2021年5月在淄博市淄川区医院接受治疗的老年A3型股骨粗隆间骨折120例,按电脑随机数字表法分为两组,对照组60例予以动力髋螺钉治疗,观察组60例行股骨近端防旋髓内钉治疗。对比两组的手术指标、术后恢复情况、并发症及髋关节功能。结果:观察组的手术时长较对照组短,围术期出血量较对照组少,切口长度较对照组短(P<0.05)。两组C型臂X线机透视次数、住院时间对比,差异均无统计学意义(P>0.05);观察组的完全负重时间、骨折愈合时间均较对照组短(P<0.05);观察组的并发症发生率为5.00%,较对照组的16.67%低(P<0.05);两组术后髋关节Harris评分均明显较术前高(P<0.05),组间比较差异均无统计学意义(P>0.05)。结论:对老年A3型股骨粗隆间骨折患者给予股骨近端防旋髓内钉治疗具有手术用时短、术中出血量少、切口短、并发症少等优势,可促进骨折良好愈合,并有效恢复髋关节功能。
Objective:To investigate the effect of anti-rotation proximal femur intramedullary nail in the treatment of aged patients with type A3 femoral intertrochanteric fracture and its influence on Harris score.Method:A total of 120 elderly patients with type A3 femoral intertrochanteric fracture treated in Zichuan District Hospital,Zibo City from May 2018 to May 2021 were selected and divided into two groups according to the method of computer random number table,60 cases in the control group were treated with dynamic hip screw,and 60 cases in the observation group were treated with anti-rotation proximal femur intramedullary nail.The operative indexes,postoperative recovery,complications and hip joint function were compared between the two groups.Result:The operation time of the observation group was shorter than that of the control group,the amount of perioperative bleeding was less than that of the control group,and the incision length was shorter than that of the control group(P<0.05).There were no significant differences in the fluoroscopy times of C-arm X-ray machine and hospitalization time between the two groups(P>0.05);the complete weight-bearing time and fracture healing time in the observation group were shorter than those in the control group(P<0.05);the incidence of complications in the observation group was 5.00%,which was lower than 16.67%in the control group(P<0.05);the Harris scores of hip joint after operation were significantly higher than those before operation in the two groups(P<0.05),and there were no significant differences between the two groups(P>0.05).Conclusion:The treatment of elderly patients with type A3 type femoral intertrochanteric fracture with anti-rotation proximal femur intramedullary nail has the advantages of short operation time,less intraoperative bleeding,short incision and less complications.It can promote good fracture healing and effectively restore hip function.
作者
孙勇业
范晓燕
高飞
SUN Yongye;FAN Xiaoyan;GAO Fei(Zichuan District Hospital,Zibo City,Shandong Province,Zibo 255100,China;不详)
出处
《中国医学创新》
CAS
2022年第18期70-74,共5页
Medical Innovation of China
关键词
A3型股骨粗隆间骨折
内固定
股骨近端防旋髓内钉
并发症
髋关节功能
A3 femoral intertrochanteric fracture
Internal fixation
Anti-rotation proximal femur intramedullary nail
Complications
Hip joint function