应用InterTan治疗45例股骨粗隆间骨折患者的疗效分析.docVIP

精品论文 参考文献 应用InterTan治疗45例股骨粗隆间骨折患者的疗效分析 陈楚鹰 张永林 李洪涧 　　北京市顺义区医院 101300 　　摘要：目的：探讨联合加压交锁髓内钉系统(InterTan)治疗股骨粗隆间骨折的效果。方法：2011年8月到2014年12月选择在我院进行诊治的股骨粗隆间骨折患者90例，对照组选择股骨近端解剖钢板治疗，治疗组应用InterTan治疗。结果：治所有患者都顺利完成手术，骨折均愈合，治疗组的手术时间、术中出血量与术中输血量明显少于对照组(Plt;0.05)。治疗组术后治疗组的骨不连、髋内翻、患肢短缩等并发症的总体发生率明显低于对照组(6.7% V 22.2%)(Plt;0.05)。结论：应用InterTan治疗股骨粗隆间骨折能减少创伤，降低并发症的发生，促进患者的康复，值得推广应用。 　　关键词：联合加压交锁髓内钉系统；股骨粗隆间骨折；并发症；股骨近端解剖钢板 　　【中图分类号】R683 文献标识码:A 　　Application InterTan treatment efficacy analysis fracture patients 45 cases of intertrochanteric 　　Abstract: Objective: To investigate the combined pressure of interlocking intramedullary nail system (InterTan) treatment of intertrochanteric fractures. Methods: August 2011 to December 2014 in our hospital for treatment selection of intertrochanteric fractures of 90 patients in the control group select proximal femoral anatomical plate treatment, treatment group InterTan treatment. Results: All patients were successfully completed treatment surgery, fractures healed, the treatment group operative time, blood loss and blood transfusion was significantly less than the control group (P lt;0.05). Treatment group after treatment of bone nonunion group, varus, the overall incidence of complications such as limb shortening was significantly lower than the control group (6.7% V 22.2%) (P lt;0.05). Conclusion: InterTan treatment of intertrochanteric fractures can reduce trauma, reduce the incidence of complications, and promote the rehabilitation of patients, should be widely applied. 　　Keywords: Joint pressure interlocking intramedullary nail system; intertrochanteric fracture; complications; proximal femoral anatomic plate 　　随着老龄社会的到来，骨质疏松人数的增加，导致股骨粗隆间骨折患者也在逐渐增加【1】。同时很多骨折患者采用保守治疗卧床时间长，容易并发其他内科疾病，导致预后恢复不良。而需要患者对手术的耐受性相对较差，为此对于手术的要求更高【2】。早期治疗多选择动力髋螺钉(DHS)为代表的髓外固定和股骨近端髓内钉系统(PFN、PFNA、Gamma钉等)，各有优缺点【3-4】。而随临床医学，生物力学和材料学的不断发展，股骨粗隆间骨折的治疗有了极大的进步。其中联合加压交锁髓内钉系统可以促进患者的康复，其独特的设计理念有效地改善了股骨粗隆间骨折的预后，避免长期卧床所致的并发症的发生【5-6】。本文具体探讨了应用InterTan治疗45例股骨粗隆间骨折患者的疗效，现报告如下。 　　1