Effect of Distal Locking Nail Application on the Treatment Effect and Complications in Patients with Stabilized In-tertrochanteric Femoral Fractures
Objective:To investigate the effect of distal locking nail application on the treatment outcome and complications in patients with stabilized intertrochanteric fractures of the femur,to provide clinical reference.Methods:85 patients with stabilized intertrochanteric femur fractures admitted to the hospital from January 2019 to January 2021 were selected as the subjects of this study,and all of them were treated with Gamma intramedullary nails for internal fixation,and were divided into distal locking group(n=45)and undistal locking group(n=40)according to whether or not distal locking screw internal fixation treatment was applied.Surgical failure and complication rates,Harris scores and VAS scores at different times were compared between the two groups.Results:The complication rate of patients in the undistal locking group was lower than that of patients in the distal locking group,and the difference was statistically significant(x2=4.722,P＜0.05).Both groups showed elevated Harris scores 2 months after surgery,and the distal locking group was lower than the non-distal locking group,with a statistically significant difference(t= 17.779,P＜0.05).VAS scores were lower in both groups at 3 d postoperatively,and were lower in the undistal locking group than in the distal locking group,with a statistically significant difference(t=26.998,P＜0.05).Conclusion:On the basis of Gamma intramedullary nail internal fixation for patients with stabilized intertrochanteric femur fracture,applying distal locking screw internal fixation in creases the success rate of the operation,and it can reduce the incidence of patients'complications,alleviate the level of pain,and improve the function of patients'hip joints.
Distal locking nailStabilize intertrochanteric fracturesComplicationsGamma intramedullary nail
万方数据
维普
