Clinical study on the application of the periosteum stripper to pry open intertrochanteric fractures with proximal and forward displacement by spiral blade incision
LIU Xiang LI Xi-ping▲ JIANG Ping-pin GUO Jian-bo
Department of Orthopedic Surgery,Xinyu Hospital of Traditional Chinese Medicine,Jiangxi Province,Xinyu 338000,China
Abstract:Objective To explore the effect of the periosteum stripper on the difficult intertrochanteric fracture of femur with proximal and forward displacement by means of a spiral blade incision.Methods A total of 60 cases of refractory intertrochanteric fracture with proximal displacement of fracture in Xinyu Hospital of Traditional Chinese Medicine from January 2018 to January 2020 were selected and randomly divided into control group(30 cases)and observation group(30 cases)by single and even number method.The control group was treated with PFNA internal fixation after closed traction reduction by traction bed,and the observation group was treated with PFNA after periosteal stripper through spiral blade incision prying reduction methods of internal fixation.The operation time,intraoperative blood loss,postoperative function,joint range of motion,pain score and complication rate were compared between the two groups.Results There were no significant differences in operation time and intraoperative blood loss between the two groups(P>0.05).There were no significant differences in postoperative function,range of motion and pain between the two groups(P>0.05).There was no significant difference in the total complication rate between the two groups(P>0.05).Conclusion Using periosteal stripper through spiral blade incision prying is a good surgical idea.It can achieve ideal therapeutic effect for patients with refractory intertrochanteric fracture whose proximal fracture moves forward,and has clinical application value.
刘翔;黎细平;江平频;郭剑波. 骨膜剥离器经螺旋刀片切口撬拨法用于骨折近端向前移位的难复性股骨粗隆间骨折的临床研究[J]. 中国当代医药, 2021, 28(2): 74-76.
LIU Xiang ;LI Xi-ping; JIANG Ping-pin;GUO Jian-bo. Clinical study on the application of the periosteum stripper to pry open intertrochanteric fractures with proximal and forward displacement by spiral blade incision. 中国当代医药, 2021, 28(2): 74-76.