中华灾害救援医学2025，Vol.12Issue(5)：519-523,5.DOI:10.13919/j.issn.2095-6274.ZHJY202504008
闭合复位髓内钉与人工股骨头置换术治疗股骨粗隆间骨折的疗效与安全性比较
Comparison of the Efficacy and Safety of Closed Reduction with Intramedullary Nailing and Artificial Femoral Head Replacement in the Treatment of Intertrochanteric Femur Fractures
摘要
Abstract
Objective To compare the efficacy and safety of closed reduction with interlocking intramed-ullary nailing(IMN)and artificial femoral head replacement(AFHR)in the treatment of intertrochanteric femur fractures.Methods A retrospective analysis was conducted on the clinical data of 158 patients with intertro-chanteric femur fractures who were treated at Puding County People's Hospital from January 2022 to December 2024.Patients were divided into two groups based on the surgical method:the IMN group(79 cases)and the AFHR group(79 cases).The clinical outcomes,intraoperative parameters,postoperative recovery indicators,hip joint function(Harris score),pain levels(VAS score),and complications were compared between the two groups.Re-sults Compared to the AFHR group,the IMN group had a significantly higher total clinical effective rate(97.47％vs.79.75％,P＜0.05)and a significantly lower overall incidence of adverse reactions(6.33％vs.18.99％,P＜0.05).The IMN group also had less intraoperative blood loss,shorter surgical incision length,shorter operation time,shorter hospitalization time,earlier weight-bearing time,and faster fracture healing time.However,the IMN group required more fluoroscopic imaging during the proce-dure(P＜0.001).Preoperatively,there were no signifi-cant differences between the two groups in terms of hip joint function(Harris score)and pain level(VAS score)(P＞0.05).Postoperatively,both groups showed a gradu-al increase in the Harris score and a gradual decrease in the VAS score over time.The IMN group had higher Harris scores at 7 days,1 month,and 1 year postoperatively,as well as lower VAS scores at 7 days and 1 month postop-eratively,compared to the AFHR group(P＜0.05).Conclusion IMN offers advantages such as minimal trauma,faster recovery,fewer complications,and significant clinical efficacy in the treatment of intertrochanteric femur fractures.It can be considered the preferred surgical option for most patients.关键词
闭合复位髓内钉内固定术/人工股骨头置换术/股骨粗隆间骨折Key words
Closed reduction with intramedullary nailing/Artificial femoral head replacement/Intertrochan-teric femur fracture分类
医药卫生引用本文复制引用
夏德仓,江雪,张军,郭庆..闭合复位髓内钉与人工股骨头置换术治疗股骨粗隆间骨折的疗效与安全性比较[J].中华灾害救援医学,2025,12(5):519-523,5.基金项目
2025年度贵州省卫生健康委科学技术基金立项项目.(gzwkj2025-609) （gzwkj2025-609）
