实用临床医药杂志2024，Vol.28Issue(24)：99-102,109,5.DOI:10.7619/jcmp.20242735
重建生理支点在治疗老年股骨转子间骨折患者中的应用效果评价
Application of reconstructing physiological fulcrum in treatment of elderly patients with intertrochanteric fracture of femur
摘要
Abstract
Objective To observe effect of reconstructing physiological fulcrum in the treatment of elderly patients with intertrochanteric fracture of the femur.Methods Clinical materials of 40 eld-erly patients with osteoporotic intertrochanteric fracture of femur in the Tongling City People's Hospital from October 2020 to October 2022 were retrospectively analyzed.Among them,20 patients treated with proximal femoral nail anti-rotation(PFNA)were assigned to the PFNA group,and 20 patients treated with proximal femoral bionic nail(PFBN)were assigned to the PFBN group.The operation time,intraoperative blood loss,length of hospital stay,postoperative rehabilitation,and incidence of complications were compared between the two groups.Results The postoperative weight-bearing time in the PFBN group was(8.50±1.99)days,which was significantly shorter than(20.15±4.87)days in the PFNA group(P＜0.05).There were no significant differences in operation time,intraoperative blood loss,length of hospital stay,fracture healing time,excellent and good rate of fracture reduction quality,and excellent and good rate of Harris score between the PFBN group and the PFNA group(P＞0.05).During the follow-up period of 10 to 14 months,no patients had com-plications such as wound infection,bone nonunion,implant failure,or deep venous thrombosis.Conclusion Both PFBN and PFNA can effectively treat elderly patients with osteoporotic intertro-chanteric fracture of femur.However,patients treated with PFBN can take bed-off activities earlier,which is beneficial for postoperative rehabilitation,and the reason may be related to the double triangular stable structure reconstructed by PFBN.关键词
生理支点/股骨转子间骨折/骨质疏松/老年人群/股骨近端仿生髓内钉/股骨近端防旋髓内钉Key words
physiological fulcrum/intertrochanteric fracture of femur/osteoporosis/elderly people/proximal femoral bionic nail/proximal femoral nail anti-rotation分类
医药卫生引用本文复制引用
杨思蒙,夏良政,邓英虎,张韬,汪康,李胜华..重建生理支点在治疗老年股骨转子间骨折患者中的应用效果评价[J].实用临床医药杂志,2024,28(24):99-102,109,5.基金项目
安徽省重点研究和开发计划项目(202104j07020011) （202104j07020011）
