中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2014年
31期
4957-4961
,共5页
鲁大路%吕先俊%李斌%杨大兴
魯大路%呂先俊%李斌%楊大興
로대로%려선준%리빈%양대흥
植入物%骨植入物%转子间骨折%交锁髓内钉%interTan%动力髋螺钉%关节功能%机体功能%Harris髋关节评分%HSS膝关节评分
植入物%骨植入物%轉子間骨摺%交鎖髓內釘%interTan%動力髖螺釘%關節功能%機體功能%Harris髖關節評分%HSS膝關節評分
식입물%골식입물%전자간골절%교쇄수내정%interTan%동력관라정%관절공능%궤체공능%Harris관관절평분%HSS슬관절평분
hip fractures%bone nails%fracture fixation,intramedul ary
背景：对于股骨转子间骨折的治疗尚无统一方式，过去应用的动力髋螺钉内固定具有一定缺陷，逐步被髓内钉内固定所取代。interTan是由美国Smith Nephew公司针对转子间骨折特点设计的联合加压交锁髓内钉，独特的加压螺纹设计具有可控的线性加压，且具有Z效应防旋的稳定性。<br> 目的：分析interTan联合加压交锁髓内钉治疗股骨转子间骨折的临床疗效及优越性。<br> 方法：2011年1月至2012年12月期间在北京朝阳急诊抢救中心骨科接受interTan联合加压交锁髓内钉内固定治疗的股骨转子间骨折患者60例纳入研究的实验组，2009年1月至2010年12月期间北京朝阳急诊抢救中心骨科60例接受动力髋螺钉治疗的股骨转子间骨折者为对照组。<br> 结果与结论：实验组患者的内固定中出血量、内固定后下床活动时间、疼痛数字评分、影像学完全愈合时间、完全负重下地时间均低于对照组；内固定后3个月、半年以及1年时，实验组患者的Harris髋关节评分和HSS膝关节评分均高于对照组。提示相比动力髋螺钉，interTan 联合加压交锁髓内钉因其设计而具有独特的稳定性，内固定能够减小手术创伤、促进骨折愈合、改善关节功能，治疗股骨转子间骨折具有良好的临床疗效。
揹景：對于股骨轉子間骨摺的治療尚無統一方式，過去應用的動力髖螺釘內固定具有一定缺陷，逐步被髓內釘內固定所取代。interTan是由美國Smith Nephew公司針對轉子間骨摺特點設計的聯閤加壓交鎖髓內釘，獨特的加壓螺紋設計具有可控的線性加壓，且具有Z效應防鏇的穩定性。<br> 目的：分析interTan聯閤加壓交鎖髓內釘治療股骨轉子間骨摺的臨床療效及優越性。<br> 方法：2011年1月至2012年12月期間在北京朝暘急診搶救中心骨科接受interTan聯閤加壓交鎖髓內釘內固定治療的股骨轉子間骨摺患者60例納入研究的實驗組，2009年1月至2010年12月期間北京朝暘急診搶救中心骨科60例接受動力髖螺釘治療的股骨轉子間骨摺者為對照組。<br> 結果與結論：實驗組患者的內固定中齣血量、內固定後下床活動時間、疼痛數字評分、影像學完全愈閤時間、完全負重下地時間均低于對照組；內固定後3箇月、半年以及1年時，實驗組患者的Harris髖關節評分和HSS膝關節評分均高于對照組。提示相比動力髖螺釘，interTan 聯閤加壓交鎖髓內釘因其設計而具有獨特的穩定性，內固定能夠減小手術創傷、促進骨摺愈閤、改善關節功能，治療股骨轉子間骨摺具有良好的臨床療效。
배경：대우고골전자간골절적치료상무통일방식，과거응용적동력관라정내고정구유일정결함，축보피수내정내고정소취대。interTan시유미국Smith Nephew공사침대전자간골절특점설계적연합가압교쇄수내정，독특적가압라문설계구유가공적선성가압，차구유Z효응방선적은정성。<br> 목적：분석interTan연합가압교쇄수내정치료고골전자간골절적림상료효급우월성。<br> 방법：2011년1월지2012년12월기간재북경조양급진창구중심골과접수interTan연합가압교쇄수내정내고정치료적고골전자간골절환자60례납입연구적실험조，2009년1월지2010년12월기간북경조양급진창구중심골과60례접수동력관라정치료적고골전자간골절자위대조조。<br> 결과여결론：실험조환자적내고정중출혈량、내고정후하상활동시간、동통수자평분、영상학완전유합시간、완전부중하지시간균저우대조조；내고정후3개월、반년이급1년시，실험조환자적Harris관관절평분화HSS슬관절평분균고우대조조。제시상비동력관라정，interTan 연합가압교쇄수내정인기설계이구유독특적은정성，내고정능구감소수술창상、촉진골절유합、개선관절공능，치료고골전자간골절구유량호적림상료효。
BACKGROUND:There is no unified method for treatment of intertrochanteric fracture. Previous dynamic hip screw fixation has some shortcomings, and is gradual y replaced by intramedul ary nail fixation. interTan is a compression interlocking intramedul ary nail designed by Smith Nephew in USA according the characteristics of intertrochanteric fracture. Unique design of pressurized screw thread has control able linear pressure. Moreover, it has the stability of Z-effect anti-rotation. <br> OBJECTIVE:To analyze the clinical therapeutic effects and superiority of interTan compression interlocking intramedul ary nail for intertrochanteric fracture. <br> METHODS:A total of 60 patients with intertrochanteric fracture undergoing interTan compression interlocking intramedul ary nail in the Department of Orthopedics, Beijing Chaoyang Emergency Rescue Center from January 2011 to December 2012 were enrol ed in the experimental group. A total of 60 patients with intertrochanteric fractures receiving dynamic hip screw fixation in the Department of Orthopedics, Beijing Chaoyang Emergency Rescue Center from January 2009 to December 2010 were enrol ed in the control group. <br> RESULTS AND CONCLUSION:Peri-operative bleeding volume, postoperative ambulation time, numerical rating scale score, radiographic healing time and weight-bearing time in the experimental group were lower than those of control group. At 3, 6 months and 1 year after fixation, Harris score and hospital for special surgery knee score were higher in the experimental group than in the control group. These data indicated that compared with dynamic hip screw, interTan compression interlocking intramedul ary nail has unique stability due to its design. Internal fixation can reduce operation trauma, promote fracture healing and improve joint function, and exhibit good clinical therapeutic effects for intertrochanteric fractures.
