摘要
目的比较新型股骨近端髓内钉(InterTan)与传统股骨近端髓内钉(PFN)治疗股骨粗隆间骨折的临床疗效。方法将收治的98例股骨粗隆间骨折随机分为两组,其中InterTan组49例,PFN组49例。对两种术式的手术时间、切口长度、失血量、术中C型臂X线机照射时间、术后住院时间、骨折愈合时间及骨折愈合后Harris评分进行比较。结果 InterTan固定组在手术时间、失血量、术中C型臂X线机照射时间和骨折愈合时间优于PFN组;在切口长度、术后住院时间和Harris评分两组差异无统计学意义(P>0.05)。两组近期随访均无骨不连、髋内翻等并发症发生。结论 InterTan因其特殊的钉尾结构和近端复合锁定钉设计、简化手术操作、缩短手术时间、减少术中创伤和照射次数,在各型股骨粗隆间骨折内固定治疗中临床疗效优于PFN,早期疗效满意。
Objective To compare the effects of the new proximal femoral nail（InterTan） and proximal femoral nail（PFN） in the treatment of interchanteric fractures.Methods Ninety eight patients with intertrochanteic fractures were randomly distributed into InterTan group（49 cases） and PFN group（49 cases）.The opration time,intra-operation active blood loss,length of incision,X-ray exposure time,duration of in-patient stay,time of bone union and Harris hip score in both groups were recorded and compared.Results The mean operation time,intra-operation active blood loss,X-ray exposure and the time of bone union in InterTan group were significantly lower than those in PFN group.There were no differences in the length of incision,time of in-patient and Harris hip score in both groups（P 0.05）.At the latest follow up,all the fractures united in both groups without nonunion,delayed union or varus coxa.Conclusion Compared with PFN protocol,introduction of InterTan displayed superiorty in early clinical outcomes for the treatment of intertrochanteric femoral fractures.
出处
《中国骨与关节损伤杂志》
2012年第2期97-99,共3页
Chinese Journal of Bone and Joint Injury
