联合拉力交锁髓内钉系统内固定对老年股骨粗隆间骨折患者应用价值探析

Analysis of the Application Value of Combined Tension Interlocking Intramedullary Nail System for Internal Fixation in Elderly Patients with Intertrochanteric Fractures of Femur

目的:探讨联合拉力交锁髓内钉系统(Inter TAN)内固定在老年股骨粗隆间骨折(ITF)中的应用价值。方法:选取2020年5月~2023年5月武警特色医学中心收治的老年ITF患者90例,按随机数字表法分为2组,各45例。对照组行动力髋螺钉固定术治疗,观察组行InterTAN内固定治疗,比较两组的手术价值。结果:观察组手术情况、髋关节功能优于对照组(P<0.05);观察组术后应激水平较对照组低(P<0.05);两组并发症相比(P>0.05)。结论:InterTAN内固定治疗老年ITF效果更佳,在加快髋关节功能恢复的同时可减轻手术创伤,安全可靠,值得临床广泛应用。

Objective:To investigate the application value of combined pulse-locking intramedullary nail system(Inter TAN)in elderly patients with intertrochanteric femoral fractures(ITF).Methods:A total of 90 elderly ITF patients admitted to the Special Medical Center of Armed Police from May 2020 to May 2023 were selected and divided into 2 groups with 45 cases in each group according to random number table method.Dynamic hip screw(DHS)fixation was performed in the control group and Inter TAN internal fixation was performed in the observation group.The surgical value of the two groups was compared.Results:The operation status and hip function of observation group were better than control group(P<0.05).The stress level of the observation group was lower than that of the control group(P<0.05).The complications of the two groups were compared(P>0.05).Conclusion:Inter TAN internal fixation is more effective in the treatment of elderly ITF,can accelerate the recovery of hip function and reduce surgical trauma,and is safe and reliable.