Clinical effect comparison of manual traction closed reduction and traction bed closed reduction in internal fixation of proximal femoral nail antirotation treatment for patients with intertrochanteric fractures
CAI Yun-shan XU Hai-wang HUANG Guang-sen
Department of Orthopedics，Longnan First People′s Hospital，Jiangxi Province，Longnan 341700，China
Abstract：Objective To compare the clinical effect of manual traction closed reduction and traction bed closed reduction in proximal femoral nail antirotation (PFNA) internal fixation treatment for patients with intertrochanteric fractures.Methods A retrospective analysis was conducted on a total of 60 patients with intertrochanteric fractures treated in our hospital from October 2018 to April 2019. They were divided into control group (n=30) and observation group (n=30) by different research methods. Patients in the control group were treated with traction bed closed reduction in PFNA internal fixation，and in the observation group，they were treated with manual traction closed reduction in PFNA internal fixation. The operation time，frequency of X-ray exposures，intraoperative bleeding volume，fracture healing time，excellent and good rate of Harris score of hip joint，visual analogue scale (VAS) and complications were observed. Results The operation time in the observation group was shorter than that of the control group； the frequency of X-ray exposures and intraoperative bleeding volume in the observation group were less than those of the control group； the VAS score and the total incidence of complications in the observation group were lower than those of the control group； all the differences were statistically significant (P＜0.05). But there were no significant differences in fracture healing time or Harris score between the two groups (P＞0.05). Conclusion Compared with traction bed，manual traction closed reduction in PFNA internal fixation treatment has a better clinical effect in treating intertrochanteric fractures.
蔡云山； 徐海望； 黄广森. 手法牵引与牵引床闭合复位股骨近端防旋髓内钉内固定治疗股骨粗隆间骨折患者的临床效果比较[J]. 中国当代医药, 2020, 27(18): 84-86.
CAI Yun-shan； XU Hai-wang； HUANG Guang-sen. Clinical effect comparison of manual traction closed reduction and traction bed closed reduction in internal fixation of proximal femoral nail antirotation treatment for patients with intertrochanteric fractures. 中国当代医药, 2020, 27(18): 84-86.
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