Abstract:Objective To investigate the clinical effect of different proximal femoral intramedullary nails in the treatment of osteoporotic femoral intertrochanteric fracture in the elderly. Methods A total of 80 elderly patients with osteoporotic femoral intertrochanteric fracture in the Department of Traumatology and Orthopedics of Chengdu Orthopedic Hospital of Jinjiang District of Chengdu City in Sichuan Province from January 2019 to June 2021 were selected as the research objects. They were divided into the observation group and the control group by computer two-color ball grouping method, with 40 patients in each group. The observation group was treated with interochanteric antegrade nai(interTAN), the control group was treated with proximal femoral nails antirotation (PFNA). The surgical treatment effect,patient recovery index and the incidence of surgical complications were compared between the two groups. Results The total effective rate of surgical treatment in the observation group was significantly higher than that in the control group,the difference was statistically significant (P<0.05). The weight-bearing time and fracture healing time in the observation group were shorter than those in the control group, the differences were statistically significant (P<0.05). The Harris score of hip function in the observation group was significantly higher than that in the control group, the difference was statistically significant (P<0.05). The incidence of postoperative complications in the observation group was lower than that in the control group, the difference was statistically significant (P<0.05). Conclusion For the treatment of elderly patients with osteoporotic femoral intertrochanteric fracture, interTAN operation has a significant effect in restoring the joint function and shortening the rehabilitation time of patients, and the treatment safety is higher, which is worthy of clinical application.
米仕第. 股骨近端髓内钉手术治疗老年骨质疏松性股骨转子间骨折的临床效果[J]. 中国当代医药, 2022, 29(15): 66-69.
MI Shidi. Clinical effect of proximal femoral intramedullary nail in the treatment of elderly osteoporotic femoral intertrochanteric fractures. 中国当代医药, 2022, 29(15): 66-69.