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| Clinical Study of Intertan Static Fixation Assisted with Caltrate D in the Treatment of Osteoporotic Femoral Intertrochanteric Fracture |
| HENG Dezhong, ZHAI Jiangbo, WANG Hongjun, et al |
| Yellow River Sanmenxia hospital, Henan Sanmenxia 472000, China |
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Abstract Objective: To observe the clinical effect of intertan static fixation assisted with caltrate D in the treatment of osteoporotic femoral intertrochanteric fracture. Methods: From March 2013 to January 2017, 92 cases of patients with osteoporotic femoral intertrochanteric fracture were selected and randomly divided into two groups, the control group was treated with PFNA operation combined with calcium D, and the study group was given Intertan static fixation assisted with Caltrate D, with 46 patients in each group. The two groups of hip joint function, operation time, amount of intraoperative bleeding, bone healing time, bone pain score, various indexes of bone density (BMD), bone metabolism markers, and serum bone sclerosis protein (SO) were compared. Results: The Harris scores in the two groups at 6 months after the operation were significantly higher than those at 1 month after the operation, and the Harris scores of the study group at 1 month and 6 months after the operation were significantly higher than those of the control group (P<0.05). The operative time, intraoperative blood loss and bone healing time in the study group were significantly lower than those in the control group (P<0.05). The bone pain scores in the two groups after treatment were significantly lower than those before treatment (P<0.05), and the bone pain score in the study group was significantly lower than that in the control group (P<0.05). After 1 year of treatment, the indexes of BMD in the two groups were significantly higher than those before treatment (P<0.05), and the indexes of BMD in the study group were significantly better than those in the control group (P<0.05). After treatment for 3 months, the levels of serum TRAP5b, β-CTX and SO in the two groups were significantly lower than those before treatment (P<0.05), and the differences between the two groups were statistically significant (P<0.05). The serum T-PINP and N-MID levels in the two groups were significantly higher than those before treatment (P<0.05), and the differences between the two groups were statistically significant (P<0.05). Conclusion: Intertan static fixation assisted with Caltrate D in the treatment of osteoporotic femoral intertrochanteric fracture is effective. It can effectively promote the recovery of hip joint function and promote postoperative fracture healing.
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2019, Vol. 25 
