Objective To explore the clinical effect of minimally invasive intramedullary nailing technique for femoral intertro-chanteric fractures guided by body surface markers.Methods A retrospective study of 87 cases of femoral intertrochanteric fractures treated in the hip surgery department of Luoyang Orthopedic-Traumatological Hospital of Henan Province from June 2020 to June 2022 was conducted.According to whether body surface markers were used,43 cases were treated with the body surface marking method(optimization group)while 44 cases were treated with the traditional technique for intramedullary nail-ing(conventional group).The operation time,intraoperative fluoroscopy times,skin incision length,intraoperative blood loss and postoperative hip function were compared between the two groups.Results All patients were followed up,with an average follow-up time of 8.6(6-12)months.There were no cases of nonunion,failure of internal fixation,or cut-out of screw.Optimiza-tion group had 15 to 36 fluoroscopic times,with a median view of 24 times.The conventional group had 22-41 fluoroscopy times,and the median fluoroscopy time was 30 times.Compared with the conventional group,the optimization group had fewer fluoros-copy times,with a statistically significant difference(P＜0.05).There were no significant differences in operation time,or postop-erative Harris hip function score between the two groups(P＞0.05).The incision length of the optimization group was smaller than that of the conventional group,and the difference was statistically significant(P＜0.05).The intraoperative blood loss in the optimi-zation group was less than that in the conventional group,and the difference was statistically significant(P＜0.05).Conclusion Body surface mark technique in the treatment of femoral intertrochanteric fractures is more minimally invasive and accurate,which can reduce the number of fluoroscopy and blood loss,facilitate rapid recovery,and improve the quality of life of patients.
关键词
股骨粗隆间骨折/体表标记/微创/内固定/股骨髓内钉
Key words
Femoral intertrochanteric fractures/Body surface mark technique/Minimally invasive treatment/Internal fixation/Intramedullary nailing
维普
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