中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2015年
31期
4989-4993
,共5页
植入物%骨植入物%股骨近端抗旋髓内钉%改进型股骨近端抗旋髓内钉%股骨转子间骨折%随访%并发症%疗效%出血量%负重时间%功能恢复
植入物%骨植入物%股骨近耑抗鏇髓內釘%改進型股骨近耑抗鏇髓內釘%股骨轉子間骨摺%隨訪%併髮癥%療效%齣血量%負重時間%功能恢複
식입물%골식입물%고골근단항선수내정%개진형고골근단항선수내정%고골전자간골절%수방%병발증%료효%출혈량%부중시간%공능회복
Tissue Engineering%Femur%Hip Joint%Complications
背景：骨质疏松所导致的股骨转子间不稳定型骨折具有较高的治疗失败率和并发症发生率，目前治疗尚存在争议。目的：应用股骨近端抗旋髓内钉与其改进型股骨近端抗旋髓内钉Ⅱ治疗老年股骨转子间骨折，并比较两者的疗效。方法：回顾性分析平果县人民医院骨外科收治的，接受手术治疗26例股骨转子间骨折老年患者的临床资料，其中13例患者采用股骨近端抗旋髓内钉置入治疗，另外13例患者接受改良型股骨近端抗旋髓内钉Ⅱ置入治疗。结果与结论：随访12个月，两组均无失访。两组置入后髋关节功能均恢复良好，Harris评分和骨折临床愈合时间差异无显著性意义，但改良型股骨近端抗旋髓内钉Ⅱ组置入后下肢疼痛发生率低于股骨近端抗旋髓内钉组(P <0.05)。结果证实，改良型股骨近端抗旋髓内钉Ⅱ置入修复老年股骨转子间骨折的疗效优于股骨近端抗旋髓内钉，安全可靠。
揹景：骨質疏鬆所導緻的股骨轉子間不穩定型骨摺具有較高的治療失敗率和併髮癥髮生率，目前治療尚存在爭議。目的：應用股骨近耑抗鏇髓內釘與其改進型股骨近耑抗鏇髓內釘Ⅱ治療老年股骨轉子間骨摺，併比較兩者的療效。方法：迴顧性分析平果縣人民醫院骨外科收治的，接受手術治療26例股骨轉子間骨摺老年患者的臨床資料，其中13例患者採用股骨近耑抗鏇髓內釘置入治療，另外13例患者接受改良型股骨近耑抗鏇髓內釘Ⅱ置入治療。結果與結論：隨訪12箇月，兩組均無失訪。兩組置入後髖關節功能均恢複良好，Harris評分和骨摺臨床愈閤時間差異無顯著性意義，但改良型股骨近耑抗鏇髓內釘Ⅱ組置入後下肢疼痛髮生率低于股骨近耑抗鏇髓內釘組(P <0.05)。結果證實，改良型股骨近耑抗鏇髓內釘Ⅱ置入脩複老年股骨轉子間骨摺的療效優于股骨近耑抗鏇髓內釘，安全可靠。
배경：골질소송소도치적고골전자간불은정형골절구유교고적치료실패솔화병발증발생솔，목전치료상존재쟁의。목적：응용고골근단항선수내정여기개진형고골근단항선수내정Ⅱ치료노년고골전자간골절，병비교량자적료효。방법：회고성분석평과현인민의원골외과수치적，접수수술치료26례고골전자간골절노년환자적림상자료，기중13례환자채용고골근단항선수내정치입치료，령외13례환자접수개량형고골근단항선수내정Ⅱ치입치료。결과여결론：수방12개월，량조균무실방。량조치입후관관절공능균회복량호，Harris평분화골절림상유합시간차이무현저성의의，단개량형고골근단항선수내정Ⅱ조치입후하지동통발생솔저우고골근단항선수내정조(P <0.05)。결과증실，개량형고골근단항선수내정Ⅱ치입수복노년고골전자간골절적료효우우고골근단항선수내정，안전가고。
BACKGROUND:Osteoporosis-induced unstable intertrochanteric fracture has a high failure rate and incidence of complications, and treatment is stil controversial. OBJECTIVE:To compare the clinical effects of proximal femoral nail anti-rotation and modified proximal femoral nail anti-rotation II for treating intertrochanteric fractures in the elderly. METHODS: Data of 26 patients with intertrochanteric fracture who were treated with surgery in the Department of Orthopedic Surgery, Pingguo County People’s Hospital were retrospectively analyzed. Of them, 13 cases received proximal femoral nail anti-rotation, and 13 cases received modified proximal femoral nail anti-rotation II. RESULTS AND CONCLUSION:The patients in both groups were folowed-up for 12 months, no drop out. Hip function restored perfectly after implantation in both groups. No significant difference in Harris score and fracture healing time was detected between the two groups. The incidence of pain in the lower limbs was lower in the proximal femoral nail anti-rotation II group than in the proximal femoral nail anti-rotation group (P < 0.05). Results verified that the therapeutic effect of modified proximal femoral nail anti-rotation II was better than proximal femoral nail anti-rotation, and it is safe and reliable.
