中国组织工程研究与临床康复2011，Vol.15Issue(17)：3093-3097,5.DOI:10.3969/j.issn.1673-8225.2011.17.014
髋部髓内加压螺钉和股骨近端短重建钉置入后的生物稳定性比较:随机对照
Intramedullary hip screw versus proximal femoral nail for intertrochanteric fracture: A randomized controlled study
杨宁 1孙天胜 1郭永智 1张志成 1王晓伟1
作者信息
- 1. 安徽医科大学北京军区总医院临床学院,北京市,100700
- 折叠
摘要
Abstract
BACKGROUND: Intramedullary hip screw (IMHS) and proximal femoral nail (PFN) have been used to treat intertrochanteric fracture due to simple operation and appropriate designs for the Asian. However, little data are available on curative effects comparison between them.OBJECTIVE: To compare the effects of IMHS and PFN on treating intertrochanteric fracture.METHODS: A total of 215 patients with intertrochanteric fracture were randomized in two groups, IMHS group (n=ll0) and PFN group (n=105). Blood loss, operative time, mortality rate, postoperative complications, and walking ability of two groups were compared.RESULTS AND CONCLUSION: There were no significant differences between the two groups regarding blood loss, transfusion requirements and mortality rate. In IMHS group, 35 patients could walk independently, 57 walk with assistive device, and 18 could not walk, while in PFN group, 28 patients could walk independently, 48 walk with assistive device, and 29 could not walk. The movement function of IMHS group was better than PFN group (P ＜ 0.05), and the number of total complications was significantly less in the IMHS group. These results indicate that IMHS nail allows for accurate su rgical technique, for both static and dynamic compression and high rotational stability. IMHS can improve fracture healing, result in few complications and is more appropriate for intertrochanteric fracture.关键词
转子间骨折/髓内加压螺钉/股骨近端短重建钉/临床疗效/并发症/骨科植入物分类
医药卫生引用本文复制引用
杨宁,孙天胜,郭永智,张志成,王晓伟..髋部髓内加压螺钉和股骨近端短重建钉置入后的生物稳定性比较:随机对照[J].中国组织工程研究与临床康复,2011,15(17):3093-3097,5.
