川北医学院学报2016，Vol.31Issue(3)：345-347,351,4.DOI:10.3969/j.issn.1005-3697.2016.03.016
股骨重建钉和解剖锁定钢板治疗不稳定性股骨粗隆间骨折合并同侧股骨干骨折的比较
Comparison of effect between femoral reconstruction nail and proximal femoral anatomic locking plate in patients with ipsilateral femoral shaft and unstable intertrochanteric fractures
摘要
Abstract
Objective:To compare the effect between femoral reconstruction nail and proximal femoral anatomic locking plate in patients with ipsilateral femoral shaft and unstable intertrochanteric fractures.Methods:To summary the clinical data of 45 patients with ipsilateral femoral shaft and unstable intertrochanteric fractures and compare the operation related indexes and the occurrence of adverse events between two surgical methods.Results:The operative time and postoperative ambulation time on crutches of FRN group was shor-ter than PFALP group[(62.4 ±19.3)min vs (79.1 ±22.7)min,P =0.02;(41 .3 ±13.7)d vs (71 .2 ±16.0)d,P <0.01 ].But the blood loss of FRN group was more than PFALP group[(190.2 ±45.9)mL vs (161 .0 ±39.3)mL,P =0.04].The two groups in blood transfusion and healing time had no significant difference[(122.2 ±96.4)mL vs (106.2 ±94.4)mL,P =0.38;(82.7 ±1 1 .5d)vs (89.7 ±1 1 .3)d,P =0.06].The Harris score of FRN group was higher than PFALP group in 3 months after surgery(81 .10 ±7.25 vs 75.26 ±8.17,P =0.02).But there was no significant difference between two groups in 6 months after treatment(85.61 ±5.20 vs 83. 28 ±6.92,P =0.21 ).The occurrence of adverse events of nail group and plate group was 2 and 5 respectively with no statistical signifi-cance(P =0.15).Conclusion:Reconstruction nail and proximal femoral locking anatomic plate both are effective surgical methods for the treatment of ipsilateral femoral shaft and unstable intertrochanteric fractures,but the FRN could shorten operative time and postoper-ative ambulation time on crutches;the PFALP can significantly reduce intraoperative blood loss.关键词
股骨重建钉/解剖锁定钢板/股骨干骨折/不稳定性股骨粗隆间骨折Key words
Femoral reconstruction nail/Proximal Femoral anatomic locking plate/Femoralshaft fracture/Unstable intertrochanteric fractures分类
医药卫生引用本文复制引用
刘玉春,刘亮,吴翔..股骨重建钉和解剖锁定钢板治疗不稳定性股骨粗隆间骨折合并同侧股骨干骨折的比较[J].川北医学院学报,2016,31(3):345-347,351,4.基金项目
陕西省“13115”科技创新工程 （）
