两种髓内钉治疗高龄不稳定型股骨转子间骨折的效果比较

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Abstract Objective To compare the efficacy of InterTAN intramedullary nail and proximal femoral anti-rotation intramedullary nail (PFNA) in the treatment of elderly unstable intertrochanteric fractures. Methods A retrospective analysis was performed on the clinical data of 76 elderly patients with unstable intertrochanteric fractures admitted to the Fifth People′s Hospital of Dalian City from March 2016 to June 2020. According to different internal fixation methods, they were divided into InterTAN group (39 cases) and PFNA group (37 cases). InterTAN group was fixed with InterTAN intramedullary nail, and PFNA group was fixed with anti-rotation femoral proximal intramedullary nail. All patients were followed up for at least 1 year after surgery, and the operative time, intraoperative blood loss, postoperative complications, ground time, bone union time and postoperative hip function of the two groups were compared. Results There were no significant differences in ground time, bone healing time and postoperative hip function between two groups (P>0.05). The operative time of PFNA group was shorter than that of InterTAN group, and the intraoperative blood loss was lower than that of InterTAN group, the differences were statistically significant (P<0.05). The incidence of thigh pain in InterTAN group was lower than that in PFNA group, the difference was statistically significant (P<0.05). Conclusion Both kinds of intramedullary nail fixation can achieve good efficacy in the treatment of unstable proximal femoral fracture. InterTAN has fewer postoperative complications, while PFNA is more convenient, shorter operation time and less injury, which may be more suitable for the surgical treatment of elderly patients with more medical complications and severe osteoporosis.

Key words： Advanced age Severe osteoporosis Unstable intertrochanteric fracture of femur Intramedullary nail

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	WANG Haichuan
	SANG Yuantian

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WANG Haichuan,SANG Yuantian. Comparison of two kinds of intramedullary nailing in the treatment of senile unstable intertrochanteric fractures[J]. 中国当代医药, 2022, 29(8): 79-82.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I8/79

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