[1]张昌猛,孙天胜,任继鑫,等.亚洲型股骨近端防旋髓内钉与InterTan系统治疗老年股骨转子间骨折的对比研究[J].中医正骨,2013,25(07):20-23.
　ZHANG Chang-meng*,SUN Tian-sheng,REN Ji-xin,et al.Comparison of proximal femoral nail antirotation-Ⅱand InterTan system for the treatment of intertrochanteric fractures in old patients[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2013,25(07):20-23.
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亚洲型股骨近端防旋髓内钉与InterTan系统治疗老年股骨转子 间骨折的对比研究()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期数:
2013年07期
页码:
20-23
栏目:
髋部损伤
出版日期:
2013-07-31

文章信息/Info

Title:
Comparison of proximal femoral nail antirotation-Ⅱand InterTan system for the treatment of intertrochanteric fractures in old patients
作者:
张昌猛1; 孙天胜2; 任继鑫1; 阴彦斌1; 何红英1
1.中国人民解放军北京军区总医院全军创伤骨科研究所,北京 100700; 2.山西医科大学第二临床医学院,山西 太原 030001
Author(s):
ZHANG Chang-meng*; SUN Tian-sheng; REN Ji-xin; YIN Yan-bin; HE Hong-ying.*
The PLA Orthopaedic Trauma Institute of General Hospital of Beijing Military Region,Beijing 100700,China
关键词:
髋骨折 骨折固定术; 髓内 治疗; 临床研究性
Keywords:
Hip fractures;  Fracture fixation; intramedullary;  Therapies; investigational
摘要:
目的:比较亚洲型股骨近端防旋髓内钉和InterTan股骨近端髓内钉系统治疗老年股骨转子间骨折的临床疗效和安全性。方法:回顾性分析接受手术治疗的68例老年股骨转子间骨折患者的病历资料,采用亚洲型股骨近端防旋髓内钉固定治疗者44例(PFNA-Ⅱ组),采用InterTan股骨近端髓内钉系统固定者24例(InterTan组)。比较2组患者的手术时间、术中出血量、手术前后血红蛋白差值、住院时间、末次随访时的Harris评分及术后并发症的发生情况。结果:①一般情况。PFNA-Ⅱ组手术时间和术中出血量[(70.81±11.34)min,(135.81±49.05)mL]小于InterTan组[(82.92±16.74)min,(180.80±92.91)mL],差异有统计学意义(t=-3.160,P=0.003; t=-2.246,P=0.032)。PFNA-Ⅱ组手术前后血红蛋白差值及住院时间[(20.68±8.49)g·L-1,(11.29±3.33)d]与InterTan组[(24.46±11.12)g·L-1,(11.33±2.77)d]比较,差异无统计学意义(t=-1.542,P=0.128; t=-0.047,P=0.962)。②Harris评分。2组患者均获随访,时间9～23个月,中位数18.5个月。末次随访时PFNA-Ⅱ组[(83.20±5.03)分]与InterTan组[(85.44±11.14)分]比较,差异无统计学意义(t=-0.459,P=0.658)。③安全性。末次随访时PFNA-Ⅱ组有5例患者诉患肢时有隐痛,InterTan组有2例患者诉患肢时有隐痛,但均不影响日常活动。PFNA-Ⅱ组5例发生肺部感染; InterTan组3例发生发生肺部感染。2组患者均未发生褥疮、静脉血栓栓塞及内固定失败等并发症。2组患者并发症发生率比较,差异无统计学意义(χ2=0.000,P=1.000)。结论:亚洲型股骨近端防旋髓内钉和InterTan系统都是治疗老年股骨转子间骨折的安全有效的治疗方式,前者操作更加简单。
Abstract:
Objective:To compare proximal femoral nail antirotation-Ⅱ(PFNA-Ⅱ)with InterTan proximal femoral intramedullary nail(PFIN)in the clinical curative effects and safety for the treatment of intertrochanteric fractures in old patients.Methods:The medical records of 68 old patients who underwent surgery for intertrochanteric fractures were analyzed retrospectively.Forty-four patients(PFNA-Ⅱgroup)underwent PFNA-Ⅱfixation,while the others(InterTan group)underwent InterTan PFIN fixation.The 2 groups were compared with each other in such parameters as operative time,blood loss,differences of hemoglobin(HGB)between pre-operation and post-operation,hospital stay,Harris scores at last follow-up and incidence rate of complications.Results:The operative time and blood loss of PFNA-Ⅱgroup were all lower than those of InterTan group respectively[(70.81±11.34)min vs(82.92±16.74)min,t=-3.160,P=0.003;(135.81±49.05)mL vs(180.80±92.91)mL,t=-2.246,P=0.032]; while there were no statistical differences in HGB differences between pre-operation and post-operation and hospital stay between PFNA-Ⅱgroup and InterTan group respectively[(20.68±8.49)g·L-1 vs(24.46±11.12)g·L-1,t=-1.542,P=0.128;(11.29±3.33)d vs(11.33±2.77)d,t=-0.047,P=0.962].The patients in the 2 groups were all followed up for 9 to 23 months with a median of 18.5 months.There was no statistical difference in Harris scores between PFNA-Ⅱgroup and InterTan group at the last follow-up[(83.20±5.03)vs(85.44±11.14),t=-0.459,P=0.658].At last follow-up,5 patients in PFNA-Ⅱ group and 2 patients in InterTan group felt occasional affected limbs vague pain,which didn't influence their daily activities.The pulmonary infection were found in 5 patients in PFNA-Ⅱgroup and 3 patients in InterTan group.No complications including bedsore,venous thromboembolism and failed internal fixation were found in the 2 groups.There was no statistical difference in complication rate between the 2 groups(χ2=0.000,P=1.000).Conclusion:Both PFNA-Ⅱfixation and InterTan PFIN fixation are safe and effective treatment for intertrochanteric fractures in old patients,while the former is relatively easy to operate.

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更新日期/Last Update: 1900-01-01