首页|股骨粗隆间骨折PFNA内固定术中闭合复位技巧研究

股骨粗隆间骨折PFNA内固定术中闭合复位技巧研究

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目的:本文针对股骨粗隆间骨折患者进行研究,探讨实施PFNA内固定术中复位技巧.方法:回顾性分析本院2022年4月~2023年4月收治的股骨粗隆间骨折患者,随机抽选66例纳为研究对象,均行复位PFNA内固定术治疗,根据患者具体情况选择复位技巧,分成两组完成手术,33例难复位患者予以切开复位,设为对照组,另外33例患者采用闭合复位PFNA内固定术治疗,设为观察组,对比分析两组手术情况.结果:观察组相比对照组,手术耗时较短,术中出血量较少,且术后愈合时间、下床时间及住院时间较短,并发症更少(P<0.05);术前,相比患者Harris评分、VAS评分、炎症因子水平、ROM评分均无显著差异(P>0.05),经过手术治疗后,观察组各项指标及评分更优(P<0.05).结论:对于股骨粗隆间骨折患者的治疗,临床行PFNA内固定术中闭合复位技巧的疗效显著,利于减轻其手术疼痛,减少手术一系列并发症,促进其关节功能的恢复.
Study on Closed Reduction Techniques in PFNA Internal Fixation for Intertrochanteric Fractures of the Femur
Objective:This article aims to study the reduction techniques during PFNA internal fixation surgery for patients with intertrochanteric fractures of the femur.Methods:A retrospective analysis was conducted on patients with intertrochanteric fractures of the femur admitted to our hospital from April 2022 to April 2023.66 patients were randomly selected as the study subjects,all of whom underwent reduction PFNA internal fixation surgery.Reduction techniques were selected according to the specific situation of the patients,and they were divided into two groups to complete the surgery.33 patients with difficult reduction were treated with open reduction and set as the control group.The other 33 patients were treated with closed reduction PFNA internal fixation surgery and set as the observation group.The surgical conditions of the two groups were compared and analyzed.Results:Compared with the control group,the observation group had shorter surgical costs,less intraoperative bleeding,shorter postoperative healing time,bed removal time,and hospital stay,and fewer complications(P<0.05);Before surgery,there was no significant difference in Harris score,VAS score,inflammatory factor level,and ROM score compared to patients(P>0.05).After surgical treatment,the observation group had better indicators and scores(P<0.05).Conclusion:For the treatment of patients with intertrochanteric fractures of the femur,the closed reduction technique during PFNA internal fixation surgery has a significant therapeutic effect,which is beneficial for reducing surgical pain,reducing a series of surgical complications,and promoting the recovery of joint function.

intertrochanteric fracture of the femurPFNA internal fixation surgeryclosed reset technique

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江西省吉安市泰和县人民医院(江西 吉安 343700)

股骨粗隆间骨折 PFNA内固定术 闭合复位技巧

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(14)
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