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《股骨近端解剖锁定钢板与联合加压交锁髓内钉治疗股骨转子间骨折的疗效比较-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、·316·临床骨科杂志JournalofClinicalOrthopaedics2014Jun;17(3)doi:10.3969/j.issn.1008-0287.2014.03.031·I临床论著·股骨近端解剖锁定钢板与联合加压交锁髓内钉治疗股骨转子间骨折的疗效比较王波,卜海富,孙和炎,隋聪摘要:目的探讨股骨近端锁定解剖钢板(PF—LCP)与联合加压交锁髓内钉(InterTan)治疗股骨转子间骨折的临床疗效。方法38例股骨转子间骨折患者中,使用PF.LCP治疗20例,使用InterTan治疗18例。对两组手术及
2、术后恢复情况进行分析。结果术中出血量:InterTan组为(150.5±18.2)ml,PF—LCP组为(262.2±22.3)ml,差异有统计学意义(P<0.05)。手术时间和术中透视时间:PF.LCP组为(82.55±8.32)min和(7.56±2.56)s,InterTan组为(96.28±9.05)min和(18.10±5.34)s,两项差异均有统计学意义(P<0.05)。38例均获得随访,时间6~18个月。患者骨折均获得愈合。骨折愈合时间:PF—LCP组(15.14-6.5)周,Inter-Tan组(
3、14.5±3.8)周;术后髋关节Harris评分:PF—LCP组(83.5±9.5)分,InterTan组(81.1±10.8)分;两项差异均无统计学意义(P>0.05)。结论PF—LCP与InterTan都是治疗股骨转子间骨折较为理想的内固定方法,相对于InterTan治疗PF-LCP治疗出血量较多,但手术时间及术中透视时间较短。关键词:股骨转子间骨折;内固定;锁定加压钢板;联合加压交锁髓内钉中图分类号:R683.42;R687.32;R687.1文献标识码:A文章编号:1008—0287(2014)03—03
4、16—04CurativeefectcomparisonbetweenproximalfemorallockingcompressionplateandInterTanⅣGB0,BHai-fu,SUNHe—yah,SUIC0(SectionI,DeptofOrthopaedics,theAfiliatedHospitalofAnhuiMedicalUniversity,Hefei,Anhui230022,China)Abstract:ObjectiveToinvestigatethecurativeefectof
5、therapyforintertrochantericfracturebetweentheproximalfemorallockingcompressionplate(PF—LCP)andInterTan.Methods38patientsofintertrochantericfracturesweredividedintotwogroups:20caseswitllthefixationofPF—LCP.18caseswithtl1efixationofInterTan.Theinformationonsurg
6、eryandpostoperativerecoveryconditionsofthetwogroupswereanalyzed.ResultsIntra-operativebloodlosswas(150.5±l8.2)mlinthelnterTangroupand(262.24-22.3)mlinthePF-LCPgroup,thisdiferencehadstatis—ticallysignificant(P<0.05).OperationtimeandX-rayexposuretimewere(96.28士
7、9.05)min,(18.10±5.34)sintheInterTangroup,(82.55±8.32)min,(7.56±2.56)sinthePF—LCPgroup,thesediferenceswerestatisticallysignificant(P<0.05).38caseswerefollowedupfor6—18monthsafteroperation,fracturesinallthepatientswerehealed.Fracturehealingtimewas(14.5±3.8)week
8、sintheInterTangroupand(15.1±6.5)weeksinthePF—LCPgroup.Harrisscoreofhipjointwas(81.1±10.8)pointsintheInterTangroupand(83.5±9.5)pointsinthePF—LCPgroup.Therewasnostatisticallysignificantdefe
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