临床骨科杂志2025，Vol.28Issue(2)：273-277,5.DOI:10.3969/j.issn.1008-0287.2025.02.041
两种内固定方式治疗股骨转子下不稳定型骨折的疗效比较
Comparison of two types of internal fixation for treatment of the unstable femoral subtro-chanteric fracture
尹亮 1王式鲁 1徐宏浩 1张凡 1毕荣修1
作者信息
- 1. 山东中医药大学第一临床医学院,山东济南 250014||山东中医药大学附属医院创伤骨科,山东济南 250014
- 折叠
摘要
Abstract
Objective To compare the curative effect of intramedullary nail attached steel cable-plate and intramedul-lary nail attached steel cable fixation on the unstable femoral subtrochanteric fracture.Methods According to the dif-ferent surgical methods,49 patients with unstable femoral femoral subtrochanteric fractures were divided into group A(12 cases were treated with intramedullary nail attached steel cable-plate fixation)and group B(37 cases were trea-ted with intramedullary nail attached steel cable fixation).The surgical conditions,fracture reduction and healing,complication incidence were recorded,and the recovery of hip joint function was evaluated with Harris score.Results All patients were followed up for 12～18 months.The operation time,incision length,and intraoperative bleeding volume in group B were all shorter(less)than those in group A(P＜0.01).The intraoperative fluoroscopy frequency and the time to full weight-bearing in group B were both more(longer)than those in group A(P＜0.05).The rate of poor fracture reduction and the time to fracture healing in group A were lower(shorter)than those in group B(P＜0.05).There were no statistical differences in Harris scores at 1,6 months postoperation and the complications inci-dence between the two groups(P＞0.05).Conclusions In the treatment of femoral subtrochanteric unstable frac-ture,the satisfactory effect can be obtained using intramedullary nail attached steel cable-plate and intramedullary nail attached steel cable fixation.Intramedullary nail attached steel cable fixation have smaller incision,less intraoperative blood loss,shorter operation time,and intramedullary nail attached steel cable-plate have fewer fluoroscopy frequency,and shorter full weight-bearing time of the patients.关键词
股骨转子下骨折/髓内钉固定/锁定钢板/钢缆环扎Key words
femoral subtrochanteric fracture/intramedullary nail fixation/locking plate/steel cable cerclage stabilisa-tion分类
医药卫生引用本文复制引用
尹亮,王式鲁,徐宏浩,张凡,毕荣修..两种内固定方式治疗股骨转子下不稳定型骨折的疗效比较[J].临床骨科杂志,2025,28(2):273-277,5.
