| 吕振刚1 王雪飞1 葛双雷1 韩大成1 袁鑫1 孟寅栋2 窦越超1 胡国东1.髓内钉InterTan 治疗股骨近端骨折的早期疗效分析[J].,2012,12(24):4701-4703 |
| 髓内钉InterTan 治疗股骨近端骨折的早期疗效分析 |
| Treatment of Proximal Femoral Fractures with Intramedullary NailInterTan - Report of early Results |
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| DOI： |
| 中文关键词: 股骨近端骨折 股骨粗隆间骨折 股骨粗隆下骨折 InterTan 髓内钉 |
| 英文关键词: Proximal femoral fractures Intertrochanteric fractures Subtrochanteric fractures InterTan Intramedullary nail |
| 基金项目: |
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| 中文摘要: |
| 目的：分析应用新一代股骨近端髓内钉（InterTan）治疗股骨近端骨折的早期临床疗效。方法：回顾性分析2009 年9 月至
2011 年8 月我科共收治股骨近端骨折患者共107 例，均采用InterTan 髓内钉系统进行治疗，其中男45 例，女62 例；年龄34-93
岁，平均73.05 岁。受伤肢体左侧63 例，右侧44 例。按AO 分型，31-A1 型32 例，31-A2 型59 例，31-A3 型16 例。记录患者手术
持续时间、并发症、死亡率、骨折愈合时间、末次复查Harris 评分，并对比患者健侧及患侧术前、术中及术后1 周的颈干角变化。所
有数据采用SPSS 13．0 进行统计分析。结果：平均手术持续时间为66.69 分钟。颈干角：术前健侧：140.66 ±9.08 度，术前患侧：
118.00±15.49 度，术中患侧：135.16±7.08 度，术后1 周患侧：137.51±15.21 度。术前患侧颈干角与其他三组相比均有显著性差异
（P<0.05），术前健侧、术中复位后患侧、术后1 周患侧颈干角之间相比均无显著性差异。3 例患者于随访过程中死亡，6 例患者失
访。98 例患者获得随访，随访时间3 -22 个月，平均8.6 个月。2 例患者发生头钉切出，3 例患者术后练习后出现股骨疼痛症状，未
发生股骨干骨折。96 例患者均获得骨性愈合，骨折愈合时间12～18 周。临床疗效按Harris 评分标准：41-92 分，平均78.5 分，优良
率80.6％。结论：髓内钉InterTan 是治疗股骨近端骨折的良好选择。 |
| 英文摘要: |
| Objective: To analyze the indications and the clinical effects of intramedullary nail InterTan for proximal femoral fractures.
Methods: We did a retrospective analysis about the clinical effects of treatment in proximal femoral fractures with intramedullary
nail InterTan. 107 patients wo were admitted to our Department of Orthopaedic Surgery during September 2009 to August 2011. These
107 patients included 45 males and 62 females,mean aged 73.05 years(ranging 34-93 years),44 with right and 63 with left. AO classification
32 cases of type 31-A1 ,59 cases of type 31-A2, 16 cases of type 31-A3. To record operation time; complication; mortality; healing
time; Harris score; compare collodiaphyseal angle of uninjured side andpreoperative;peroperative; postoperative with SPSS 13.0. Results:
The average operation time was 66.69 min. Average collodiaphyseal angle: uninjured side: 140.66 ±9.08 degree; preoperative: 118.00±
15.49degree; peroperative: 135.16±7.08 degree;postoperative: 137.51±15.21 degree. There was significant difference between collodiaphyseal
angle of preoperative to three series else （P<0.05）. There was no significant difference in collodiaphyseal angle of uninjured
side; peroperative; postoperative. Three patients died, six were loss for follow-up, leaving 98 patients were followed up by 8.6 (ranging
3-22) months averagely. There was two cut-out. Three patients felt pain in femoral shaft after exercise, no fracture.96 case healed on the
radio- graphs within the ranging 12-18 weeks. The Harris score at the final follow-up was average 78.5 scores (ranging 41-92), good and
excel- lent rate of 80.6%. Conclusions: The intramedullary nail InterTan is a very good choice to treat proximal femoral fractures. |
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