摘要
目的探讨股骨近端防旋髓内钉与股骨近端锁定钢板治疗股骨转子间骨折的疗效。方法选择2016年1月~2017年6月本院收治的股骨转子间骨折患者100例,按照随机数字表法分为两组,各50例,对照组行股骨近端锁定钢板治疗,观察组行股骨近端防旋髓内钉治疗,对所有入组者进行3个月随访,比较术后3个月,患者10米步行速度、5次坐立运动耗时,手术前后Harris髋关节功能评分,比较两组总住院时间、拄拐行走时间和弃拐行走时间。结果术后3个月,观察组10米步行速度大于对照组(P<0.05),5次坐立运动耗时短于对照组(P<0.05),观察组术后3个月Harris髋关节运动评分显著高于对照组(P<0.05),观察组总住院时间短于对照组(P<0.05),拄拐行走时间快于对照组(P<0.05),弃拐行走时间快于对照组(P<0.05)。结论针对股骨转子间骨折行股骨近端防旋髓内钉治疗,其术后髋关节功能恢复快,住院时间短,更利于患者术后康复。
Objective To investigate the effect of proximal femoral nail and proximal femoral locking plate in the treatment of intertrochanteric fracture of the femur. Methods One hundred cases of intertrochanteric fracture in our hospital from January 2016 to June 2017 were selected and divided into two groups according to the random number method,50 cases in each group.The control group was treated with proximal femur locking plate,and the observation group was treated with proximal femoral intramedullary nail.All the patients were followed up for 3 months.the walking speed of 10 meters,the time consuming of 5 sitting exercises,Harris hip function score before and after the operation were compared.The total hospitalization time,walking time on crutches and walking time on abandoned crutches were compared between the two groups. Results Three months after operation,the walking speed of 10 meters in the observation group was higher than that in the control group （P 〈 0.05）.The time consumption of five sitting exercises was shorter than that of the control group （P 〈0.05）,Harris hip joint motor score of the observation group was significantly higher than that of the control group（P〈0.05）.The total hospitalization time of observation group was shorter than that of control group （P 〈 0.05）.The walking time of crutches was faster than that of control group （P 〈 0.05）.The walking time of abandoned crutches was faster than that of control group （P 〈 0.05）. Conclusion For proximal femoral intertrochanteric fractures,proximal femoral nail anti rotation therapy has a faster recovery of hip joint function and shorter hospitalization time,which is more conducive to postoperative rehabilitation.
出处
《中国医药科学》
2018年第2期231-233,共3页
China Medicine And Pharmacy
关键词
股骨近端防旋髓内钉
股骨近端锁定钢板
股骨转子间骨折
运动能力
Proximal femoral anti rotation intramedullary nail
Proximal femur locking plate
Intertrochanteric fracture of the femur
Exercise ability
