首页|加长InterTan治疗老年骨质疏松性不稳定型股骨粗隆间骨折的效果

加长InterTan治疗老年骨质疏松性不稳定型股骨粗隆间骨折的效果

扫码查看
目的 探讨加长InterTan治疗老年骨质疏松性不稳定型股骨粗隆间骨折的效果。方法 选取2017年6月至2021年 6 月在我院住院的 83 例老年骨质疏松性不稳定型股骨粗隆间骨折患者为研究对象,将其随机分为长钉组(n=42)和标准组(n=41)。长钉组采用加长InterTan治疗,标准组采用标准InterTan治疗。比较两组的手术时间、术中出血量、放射暴露时间、术中输血量、尖顶距(TAD)、骨折愈合时间及Harris评分。结果 长钉组的手术时间、放射暴露时间长于标准组,术中出血量多于标准组,差异具有统计学意义(P﹤0。05);两组的术中输血量、TAD比较,差异无统计学意义(P﹥0。05)。长钉组的骨折愈合时间短于标准组,Harris评分高于标准组,差异具有统计学意义(P﹤0。05)。结论 加长InterTan应用于老年骨质疏松性不稳定型股骨粗隆间骨折可取得良好的骨折复位效果,促进骨折愈合,临床应用价值较高,值得推广。
Effect of lengthening InterTan in the treatment of senile osteoporotic unstable femoral intertrochanteric fracture
Objective To explore the effect of lengthening InterTan in the treatment of senile osteoporotic unstable femoral intertrochanteric fracture.Methods A total of 83 elderly patients with osteoporotic unstable femoral intertrochanteric fracture who were hospitalized in our hospital from June 2017 to June 2021 were selected as the research objects and randomly divided into long nail group(n=42)and standard group(n=41).The long nail group was treated with lengthening InterTan,and the standard group was treated with standard InterTan.The operation time,intraoperative blood loss,radiation exposure time,intraoperative blood transfusion,tipapex distance(TAD),fracture healing time and Harris score were compared between the two groups.Results The operation time and radiation exposure time of the long nail group were longer than those of the standard group,and the intraoperative blood loss was more than that of the standard group,the differences were statistically significan(P<0.05);there were no significant differences in intraoperative blood transfusion and TAD between the two groups(P>0.05).The fracture healing time of the long nail group was shorter than that of the standard group,and the Harris score was higher than that of the standard group,the differences were statistically significant(P<0.05).Conclusion Lengthening InterTan applied in senile osteoporotic unstable femoral intertrochanteric fractures can achieve good fracture reduction effect and promote fracture healing,it has high clinical application value and is worthy of promotion.

osteoporotic unstable femoral intertrochanteric fracturelengthening InterTanintramedullary nailsenile

李晗、徐执扬、吴冯胜、吴飞华、苏新杰、梁喜斌

展开 >

北京市垂杨柳医院/清华大学附属垂杨柳医院骨一科,北京,100022

骨质疏松性不稳定型股骨粗隆间骨折 加长InterTan 髓内钉 老年

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(6)
  • 15