摘要
Abstract
Objective:To explore the clinical value of poking-rod support technique for reduction in the treatment of irreducible intertrochanteric femoral fractures.Method:A total of 60 patients who met the diagnostic criteria for irreducible intertrochanteric femoral fractures in Yangdong District People's Hospital,Yangjiang City from May 2021 to April 2025 were selected.Using the random number table method,they were assigned to an observation group(n=30)and a control group(n=30).All patients underwent proximal femoral nail antirotation fixation.The control group received limited open reduction,while the observation group was treated with the poking-rod support technique for reduction.Intraoperative indicators,imaging indicators,functional recovery indicators,and complication rates were compared between the two groups.Result:The total operative time and reduction time were significantly shorter in the observation group compared to the control group,and intraoperative blood loss was less than that in the control group(P<0.05).The rate of Garden index grade Ⅰ in the observation group after the operation was higher than that in the control group,the change of cervical-shaft angle 3 months after the operation was smaller than that in the control group,and the callus formation score was higher than that in the control group(P<0.05).The postoperative ambulation time of the observation group was earlier than that of the control group,and the postoperative walking aid dependence time was shorter than that of the control group,and Harris hip scores at 1 month and 3 months after the operation were higher than those of the control group(P<0.05).The incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion:The poking-rod support technique for reduction can significantly shorten the reduction operation time and functional recovery time,make the reduction more satisfactory,and reduce the occurrence rate of complications.关键词
难复性股骨转子间骨折/切开复位/顶棒支撑法复位/髓内钉/髋关节功能Key words
Irreducible intertrochanteric femoral fracture/Open reduction/Poking-rod support technique for reduction/Intramedullary nailing/Hip function
