Abstract：Objective: To study the different therapeutic effects of InterTan intramedullary nail and replacement hip replacement in the treatment of intertrochanteric fractures of the aged femur. Methods: 100 cases of intertrochanteric fracture of the femur in our hospital from May 2013 to May 2016 were selected and divided into the observation group and the control group according to the operation mode. 50 in the observation group were the replacement hip joint replacement group and 50 in the control group, which was InterTan intramedullary nail group. The Harris scores, activities of daily living (ADL), complication rate, operative time, intraoperative blood loss, hospitalization time and the time of postoperative onset between the two groups were observed and compared. Results: There was no significant difference in the Harris score, the ADL score and the incidence of complications in the two groups (P>0.05). The time of operation, the amount of bleeding and the time of hospitalization in the observation group were all higher than those of the control group, and there was a significant difference between the two groups (P<0.05). The activity time of the observation group was earlier than that of the control group, and there was a significant difference between the two groups (P<0.05). Conclusion: The replacement of hip joint with hip joint can shorten the time of postoperative activity, but Inter Tan intramedullary nail can shorten operation time and reduce intraoperative blood loss.
王隆辉, 刘圣星, 陈荣. InterTan髓内钉股骨距替代型髋关节置换在高龄股骨转子间骨折中的应用[J]. 河北医学, 2018, 24(4): 633-635.
WANG Longhui, LIU Shengxing, CHEN Rong. Application of InterTan Intramedullary Nail and Hip Replacement in Elderly Patients with Intertrochanteric Fracture. HeBei Med, 2018, 24(4): 633-635.
[1] 李现军.股骨近端髓内钉与人工髋关节置换修复股骨转子间骨折的对比[J].中国组织工程研究,2015,19(13):1979~1983. [2] DeHaan,A.M.,Groat,T.,Priddy,M. et al.Salvage hip arthroplasty after failed fixation of proximal femur fractures[J].The Journal of arthroplasty,2013,28(5):855~859. [3] 曾浩,刘忠,伍峰,等.不同植入物修复老年不稳定型股骨转子间骨折:生物相容性特征[J].中国组织工程研究,2015,19(39):6339~6344. [4] 薛金伟,戴富强,姜源涛,等.人工股骨头置换与防旋型股骨近端髓内钉治疗高龄稳定型股骨粗隆间骨折的疗效比较[J].中国老年学杂志,2016,36(02):401~403. [5] 卢晓栋,王奔,徐炜,等.股骨距替代髋关节置换与髓内钉治疗高龄股骨转子间骨折疗效分析[J].中华医学杂志,2016,96(31):2466~2471. [6] 王石磊,董长军.髓内钉配合自主体位治疗模式在股骨骨折中的疗效及感染分析[J].中华医院感染学杂志,2013,23(11):2611~2613. [7] 吕亮,王福生,卢敏,等.人工髋关节置换术后感染的危险因素分析及预防[J].中华医院感染学杂志,2013,23(6):1334~1335,1345. [8] 向川,郝耀,杨宇君,等.人工髋关节置换术与内固定术治疗老年股骨粗隆间骨折的META分析[J].中国矫形外科杂志,2013,21(14):1384~1391. [9] 庞向华,欧兆强,欧阳建江,等.半髋关节置换与防旋型股骨近端髓内钉治疗高龄不稳定型股骨粗隆间骨折的疗效对比[J].重庆医学,2013,42(10):1086~1088. [10] Holzer L A,Holzer G.The 50 highest cited papers in hip and knee arthroplasty[J].The Journal of arthroplasty,2014,29(3):453~457. [11] 唐朴勤,周雪松,陈晓婷,等.人工股骨头置换与全髋关节置换在治疗老年股骨颈骨折中的疗效比较[J].武汉大学学报(医学版),2014,35(1):143~145. [12] 刘刚,刘群,杨顺杰,等.人工髋关节置换术后感染的临床特点与干预措施分析[J].中华医院感染学杂志,2015,(23):5438~5440. [13] 李兴艳,陈苏,郭风劲,等.人工股骨头置换术与股骨近端防旋髓内钉治疗高龄患者转子间骨折对比研究[J].实用医学杂志,2014,30(22):3617~3619. [14] Sheng Zhang,Kairui Zhang,Yanfei Jia et al.Inter tan nail versus proximal femoral nail antirotation-asia in the treatment of unstable trochanteric fractures[J].Orthopedics,2013,36(3):182~182. [15] 徐闯,戚大春,李贤让,等.初次髋关节置换术后引流与否的Meta分析[J].山东大学学报(医学版),2016,54(6):43~49.
2018, Vol. 24 
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