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| Application of anti-rotation proximal femoral nail in elderly hip fracture |
| ZHOU Da-fang1 XU Jian1 WANG Ying1 JI Zhao-xiao1 DU Zheng1 ZONG Hao1 YE Rui1 WANG Min2▲ |
1.Department of Orthopaedics, Workers′ Hospital of Suqian City, Jiangsu Province, Suqian 223800, China;
2.Department of Orthopaedics, Guangzhou Red Cross Hospital, Medical College, Ji′nan University, Guangdong Province,Guangzhou 510220, China |
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Abstract Objective To investigate the application of anti-rotation proximal femoral nail in elderly hip fracture.Methods A total of 90 elderly patients with hip fractures who were admitted to the Department of Orthopaedics of Suqian Workers Hospital of Jiangsu Province and Guangzhou Red Cross Hospital from January 2018 to February 2019 were selected as the study objects.They were divided into the control group (45 cases) and the observation group (45 cases) according to the isometric random sampling method.The control group was treated with proximal femoral locking plate, and the observation group was treated with anti-rotation proximal femoral nail.The perioperative indexes such as operative time, intraoperative blood loss, perspective time, hemoglobin loss, time of bed movement, fracture healing time, length of hospital stay of the two groups were compared.The Harris score, excellent and good rate, quality of life score, Barthel index and the total incidence of complications of the two groups were recorded.Results The operation time, time of bed movement, fracture healing time, and hospitalization time in the observation group were shorter than those in the control group, the intraoperative blood loss and hemoglobin loss in the observation group were less than those in the control group, and the fluoroscopy time in the observation group was longer than that in the control group,the differences were statistically significant (P＜0.05).There were no significant differences between the two groups in theHarris score, quality of life score and Barthel index before operation (P＞0.05).The Harris score, quality of life score and Barthel index of the two groups at 6 months after operation were higher than those before operation, the differences were statistically significant (P＜0.05).The Harris score, quality of life score and Barthel index of the observation group at 6 months after operation were higher than those of the control group, the differences were statistically significant (P＜0.05).The excellent and good rate of the observation group was higher than that of the control group, the total incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant (P＜0.05).Conclusion In the treatment of hip fracture in the elderly, the proximal femoral nail of the anti-rotation femur is more conducive to the operation, promote the recovery of hip function, improve the quality of life and self-careability of daily life, and reduce the total incidence of complications.It is worthy of popularization and application.
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