Analysis of the Therapeutic Effect of INTERTAN Intramedullary Nail Fixation and Artificial Joint Replacement Surgery for Hip Fractures
Objective To explore the therapeutic effect of INTERTAN intramedullary nail fixation and artificial joint replacement in the treatment of hip fractures.Methods A total of 100 patients with hip fractures admitted to Guanling Autonomous County People's Hospital from January 2022 to December 2023 were randomly selected as the research objects and divided into two groups according to different treatment methods,with 50 cases in each group.The control group underwent INTERTAN intramedullary nail fixation surgery,and the observation group underwent artificial joint replacement surger.The surgical-related clinical indicators,bone metabolism-related indicators and complications of the two groups were compared.Results The weight-bearing time and hospital stay of the observation group were(10.36±1.27)d and(13.98±3.59)d,respectively,which were shorter than those of the control group(29.78±5.64)d and(21.58±6.67)d,the differences were statistically significant(t=23.753,7.095,both P<0.05).The results of opera-tion time,postoperative drainage volume,rate of complications and preoperative bone metabolism-related indicators were similar between the two groups,the differences were no statistically significant(all P>0.05).After surgery,the levels of bone alkaline phosphatase,parathyroid hormone and bone gamma-carboxyglutamic acid protein in the two groups were all higher than those before surgery,and the observation group was higher,the differences were statisti-cally significant(all P<0.05).Conclusion Compared with INTERTAN intramedullary nail fixation surgery,Patients with hip fractures who undergo artificial joint replacement surgery have better treatment outcomes,which is beneficial to improve bone metabolism-related indicators and can shorten the postoperative weight-bearing time and hospital stay of patients.
Hip fractureArtificial joint replacementINTERTAN intramedullary nail fixationComplications