Efficacy analysis of intramedullary nail fixation technique for intertrochanteric fracture of the femur
Objective To explore the efficacy of intramedullary nail fixation technique for intertrochanteric fracture of the femur.Methods 100 cases of intertrochanteric fracture of the femur were studied and divided into a study group and a control group according to random number table method,each with 50 cases.Both groups underwent open reduction and internal fixation surgery.When selecting internal fixation materials,the control group chose locking steel plates,while the study group chose intramedullary nails.The surgical situation,postoperative recovery time,serum inflammatory factor indicators,pain scores,hip joint function scores,and quality of life scores were compared between the two groups.Results The study group had shorter operation time of(74.98±12.15)min than(92.73±15.62)min in the control group(P<0.05).The study group had less intraoperative blood loss of(153.12±31.08)ml than(216.69±40.34)ml in the control group(P<0.05).The postoperative first ambulatory activity,fracture healing time,and hospitalization days in the study group were(4.91±1.03)d,(11.63±1.45)weeks and(10.04±1.98)d,which were shorter than(6.30±1.24)d,(14.07±1.91)weeks and(12.89±2.60)d in the control group(P<0.05).1 d after surgery,the levels of serum C-reactive protein and interleukin-6 in both groups were significantly higher than those before surgery;the study group had serum C-reactive protein of(5.89±1.06)mg/L and interleukin-6 of(25.46±3.75)pg/ml,which were lower than(7.02±1.27)mg/L and(29.69±3.83)pg/ml in the control group(P<0.05).3 months after surgery,the pain score in both groups were significantly lower than that before surgery,and the hip function score was significantly higher than that before surgery;the study group had lower pain score of(2.63±0.61)points than(3.49±0.72)points in the control group,and higher hip function score of(90.65±7.02)points than(81.42±7.38)points in the control group(P<0.05).3 months after surgery,the quality of life scores of physiology,psychology,environment and social relations in both groups were significantly increased compared with those before surgery,while the study group was higher than the control group(P<0.05).Conclusion When treating intertrochanteric fractures of the femur with open reduction and internal fixation,choosing intramedullary nails as internal fixators can achieve better surgical results than locking steel plates.Intramedullary nail fixation not only reduces surgical trauma,reduces postoperative inflammatory factor leakage,but also accelerates the patient's postoperative recovery,promotes faster fracture healing,and is conducive to better improving hip joint function,reducing pain,and improving quality of life.
Intertrochanteric fracture of the femurOpen reduction and internal fixation surgeryLocking steel plateIntramedullary nail
万方数据
维普
