不同手术方案在股骨转子间骨折并发同侧股骨颈骨折患者中的应用效果对比

Application results comparing different surgical options in concurrent ipsilateral intertrochanteric fractures in patients with femoral neck fractures

目的 :研究Trigen髓内钉和动力髋螺钉两种内固定手术治疗股骨转子间骨折并发同侧股骨颈骨折的区别。方法 :选取2009年6月至2014年6月5年间来我院进行治疗的股骨转子间骨折并发同侧股骨颈骨折患者80例,按照随机数字表法分为髓内钉组40例和髋螺钉组40例。收集数据并进行统计学分析。结果 :髓内钉组术中出血量、术后并发症和术后负重时间均低于髋螺钉组,两组数据比较,差异明显,具有统计学意义。结论 :Trigen髓内钉术中情况良好,预后情况以及术后并发症情况均优于动力髋螺钉。

Objective To study Trigen intramedullary nail and dynamic hip screw fixation surgery two intertrochanteric fractures complicated by the difference between the ipsilateral femoral neck fracture. Methods Selected between June 2009 to June 2014 to five years in our hospital for treatment of intertrochanteric fractures in patients with concurrent ipsilateral femoral neck fracture 80 cases, accorded to the random number table is divided into 40 cases of intramedullary nail group and hip screw group 40 cases. Data were collected and analyzed statistically. Results Intramedullary nail group blood loss, postoperative complications and postoperative weight-bearing time were lower than the hip screw group, the two sets of data, the difference was significant, with statistical significance. Conclusion Trigen intramedullary nail surgery in good condition, prognosis and postoperative complications are superior to DHS.