股骨近端抗旋髓内钉治疗老年股骨粗隆间骨折患者的效果与安全性

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Abstract ObjectiveTo investigate the clinical effect of proximal femur anti-rotation nail in the treatment of elderly intertrochanteric fractures.MethodsA total of 60 elderly patientswith intertrochanteric fractures treated in our hospital from August 2012 to August 2017 were selected as research subjects.According to different treatment methods,they were divided into control group(n=25)and observation group(n=35).In the control group,dynamic hip screw was used，while in the observation group,proximal femur anti-rotation intramedullary nail was adopted.The clinical indexes and therapeutic effect of the two groups were compared.ResultsThe excellent and good rate was 91.4%in the observation group,which was higher than that in the control group accounting for 68.0%,with statistical difference(P＜0.05).The incidence of complications in the observation group was lower than that in the control group,with significant difference(P＜0.05).The operation time,healing time and hospital stay in the observation group were shorter than those in the control group,intraoperative blood loss was lesser than those in the control group,which were displayed statistical significance(P＜0.05).ConclusionThe proximal femur anti-rotation intramedullary nail obtains a good effect on intertrochanteric fractures in the elderly in high safety and it isworthy of promotion and application.

Key words： Femoral anti-rotation intramedullary nail Femoral intertrochanteric fracture Safety

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	Articles by authors
	SONG Zhi-hui
	CHEN Jin
	XIONG Shu-hong
	CHEN Si
	YUAN Jian-bing
	MA Jun-chang

Cite this article:

SONG Zhi-hui,CHEN Jin,XIONG Shu-hong, et al. Efficacy and safety of proximal femur anti-rotation intramedullary nail in the treatment of elderly patientsw ith intertrochanteric fractures[J]. 中国当代医药, 2018, 25(16): 96-98.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I16/96

[1]	洪忠，刘汉民，张洲平，等.PFNA与ALP治疗老年股骨粗隆间骨折的效果比较[J].中国当代医药，2016，23（7）:101-103.
[2]	许明义，胡建功.椎体成形术治疗骨质疏松性椎体压缩性骨折 86 例疗效观察[J].山东医药，2015，55（17）：105-106.
[3]	伍志健，余斌，梁显球，等.微创PFNA治疗老年股骨粗隆间骨折的临床疗效观察[J].中国卫生标准管理，2015，6（26）：38-39.
[4]	谢飞.DHS和PFNA内固定对于股骨粗隆间骨折患者术后Harris评分的影响[J].中外医疗，2017，36（5）：50-51.
[5]	刘成功，戚超，张海宁，等.关节置换法与内固定法治疗老年骨质疏松合并股骨粗隆间骨折的临床对比分析[J].现代生物医学进展，2016，16（4）：741-743.
[6]	吕荷荣，项少梅，王艮存，等.老年股骨颈及股骨粗隆间骨折治疗方法的选择[J].中国骨与关节损伤杂志，2015，30（6）：628-629.
[7]	薛雷.老年创伤性股骨粗隆间骨折应用不同手术治疗方案治疗效果分析[J].中国伤残医学，2017，25（17）：24-26.
[8]	潘飞龙，朱建国，钟萍，等.防旋型股骨近端髓内钉与动力髋螺钉治疗老年股骨粗隆间骨折的临床疗效比较[J].实用临床医药杂志，2015，19（23）：107-108.
[9]	徐风瑞，何明武，姚忠军，等.PFNA内固定与人工股骨头置换术治疗高龄骨质疏松性股骨粗隆间骨折的比较[J].中国骨与关节损伤杂志，2016，31（2）：130-133.
[10]	殷振华，陈轲，韩健，等.股骨近端防旋髓内钉和动力髋螺钉内固定治疗老年股骨转子间骨折疗效对比[J].临床骨科杂志，2015，18（6）：715-717.
[11]	林凡国，孙永明，华俊，等.骨近端髓内钉与动力髋螺钉治疗老年股骨粗隆间骨折临床疗效比较[J].中国现代医学杂志，2016，26（8）：127-130.
[12]	郑金煜.股骨近端抗旋髓内钉治疗股骨粗隆间骨折的效果分析[J].福建医药杂志，2016，38（6）：36-38.
[13]	徐明伟，周荣魁.股骨近端抗旋髓内钉治疗老年股骨粗隆间骨折患者的效果及安全性[J].中国老年学杂志，2015，35（16）：4616-4617.
[14]	吴斌.闭合复位PFNA内固定术在股骨粗隆间骨折治疗中的应用[J].实用临床医学，2015，16（8）：35-37.
[15]	张金辉，张立海，张里程，等.老年股骨粗隆间骨折股骨近端抗旋髓内钉和股骨近端髓内钉InterTAN的选择和疗效评价[J].中国修复重建外科杂志，2015，29（5）：538-541.