亚洲型股骨近端防旋髓内钉固定治疗老年股骨转子间骨折的临床研究

Clinical Study on the Treatment of Intertrochanteric Femur Fractures in the Elderly with Asian Type Proximal Femur Anti-rotation Intramedullary Nail Fixation

目的探究老年股骨转子间骨折患者应用亚洲型股骨近端防旋髓内钉固定治疗的效果。方法方便选取徐州矿务集团总医院于2020年3月—2023年2月收治的65例老年股骨转子间骨折患者为研究对象。采用盲摸双色球法分为研究组(n=33)、参照组(n=32)。参照组行传统股骨近端锁定钢板治疗,研究组行亚洲型股骨近端防旋髓内钉固定治疗。比较两组的手术情况、髋关节功能及术后并发症发生率。结果研究组的手术时间、术中出血量、切口长度、骨折愈合时间均优于参照组,差异有统计学意义(P均<0.05)。研究组髋关节功能中疼痛、功能、畸形及关节活动度评分均高于参照组,差异有统计学意义(P均<0.05)。研究组术后并发症总发生率低于参照组(3.03%vs 18.75%),差异有统计学意义(χ^(2)=4.178,P<0.05)。结论老年股骨转子间骨折患者应用亚洲型股骨近端防旋髓内钉固定治疗的效果较好,患者的手术情况改善,髋关节功能提高,术后并发症减少。

Objective To investigate the effect of application of Asian type proximal femur anti-rotation intramedullary nail fixation in elderly patients with intertrochanteric femur fractures.Methods A total of 65 elderly patients with intertrochanteric fractures admitted to Xuzhou Mining Group General Hospital from March 2020 to February 2023 were conveniently selected as the research objects.The blind touch two-color ball method was divided into study group(n=33)and control group(n=32).The reference group was treated with traditional proximal femoral locking plate,and the study group was treated with Asian proximal femoral anti-rotation intramedullary nail fixation.The operation condition,hip joint function and postoperative complications rate were compared between the two groups.Re-sults The surgical time,intraoperative blood loss,incision length,fracture healing time of the study group were better than those of the control group,and the differences were statistically significant(all P<0.05).The pain,function,deformity,and joint range of motion scores in the hip joint function of the study group were higher than those of the control group,and the differences were statistically significant(all P<0.05).The postoperative complication rate in the study group was lower than that in the control group(3.03%vs 18.75%),and the difference was statistically significant(χ^(2)=4.178,P<0.05).Conclusion Elderly patients with intertrochanteric femur fracture were better treated by application of Asian type proximal femur anti-rotation intramedullary nail fixation,with improvement of the patients'operation,improvement of the hip function,and reduction of postoperative complications.