赣南医学院学报2023，Vol.43Issue(11)：1114-1117,4.DOI:10.3969/j.issn.1001-5779.2023.11.005
"打孔栽桩"技术在股骨近端防旋髓内钉螺旋刀片取出滑丝时的应用
Application of"drilling and planting piles"technology in pulling slip wire with PFNA spiral blade
摘要
Abstract
Objective:To summarize the clinical effect of using the technique of"drilling and planting piles"to solve the problem of taking out the sliding wire with the spiral blade of proximal femoral nail(PFNA).Methods:From January 2015 to January 2023,a total of 258 cases of intertrochanteric fracture of femur were treated with PFNA internal fixation in our hospital,among which 35 cases were taken out by"drilling and planting piles"technique,which was designated as the perforation group.And another 35 patients were also selected to take out spiral blades by routine operation,and they were designated as the routine group.The operative time,polishing time and intraoperative blood loss were compared between the two groups.Results:The operation time of drilling group was(65.12±7.16)min,the grinding time was(26.25±5.12)min,shorter than thsoe of the routine group[(115.51±16.09)min、(70.91±6.95)min],with statistical significance(t=-16.96,P＜0.05;t=-30.56,P＜.05);The intraoperative blood loss was(71.23±9.97)mL,less than that of the routine group[(116.08±18.81)mL](t=-12.47,P＜0.05).There were no iatrogenic fractures,vascular and nerve injuries in the two groups.There were 2 cases with postoperative incision infection in the routine group,and they were cured after dressing change;4 cases had residual metal debrits around the wounds,and they were taken out after X-ray reexamination in both groups.Conclusion:When the tail end of PFNA spiral blade is slippery,the technology of"drilling and planting piles"can be selected to take them out.It is convenient,fast and safe.关键词
打孔栽桩/股骨近端防旋髓内钉/螺旋刀片/滑丝Key words
Drilling and planting piles/Anti-rotation intramedullary nail of proximal femur/Spiral blade/Slide wire分类
医药卫生引用本文复制引用
韩晓亮,王小龙,李富,孙志鹏.."打孔栽桩"技术在股骨近端防旋髓内钉螺旋刀片取出滑丝时的应用[J].赣南医学院学报,2023,43(11):1114-1117,4.基金项目
定西市科技局重点技术攻关专项课题(DX2023BZ33) （DX2023BZ33）
