| 摘要: |
| ［摘要］ 目的 比较InterTan与股骨近端解剖锁定钢板（proximal femoral anatomical locking plate,PFLP）内固定治疗股骨转子下骨折的临床疗效。方法 回顾性分析2011-02～2016-02在该院骨科采用InterTan与PFLP内固定治疗的65例股骨转子下骨折患者的临床资料，其中InterTan组30例，PFLP组35例。比较两者的手术时间、术中出血量、住院时间、骨折愈合时间、患肢完全负重时间，术后1、3、6、12个月髋关节功能Harris评分，以及并发症发生情况。结果 65例患者均获得16～26（21.80±2.51）个月随访。InterTan组手术时间及术中出血量均少于PFLP组，差异有统计学意义（P<0.05）。两组住院时间、骨折愈合时间、患肢完全负重时间比较差异无统计学意义（P>0.05）。InterTan组术后1个月、3个月的髋关节功能Harris评分高于PFLP组，差异有统计学意义（P<0.05）；但两组术后6个月、12个月髋关节功能Harris评分差异无统计学意义（P>0.05）。结论 InterTan和PFLP内固定系统治疗股骨转子下骨折效果良好，但InterTan手术时间短，创伤小，利于患者早期康复锻炼。 |
| 关键词: 股骨转子下骨折 InterTan 股骨近端解剖锁定钢板 内固定 |
| DOI：10.3969/j.issn.1674-3806.2018.03.09 |
| 分类号:R 683.42 |
| 基金项目: |
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| Comparison of the clinical effects on femur subtrochanteric fractures between interTan internal fixation and proximal femoral anatomical locking plate |
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HUANG Wen-wen, YIN Dong, HUANG Yu, et al.
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Youjiang Medical University for Nationalities, Baise 533000, China
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| Abstract: |
| ［Abstract］ Objective To compare the efficacy of InterTan internal fixation and proximal femoral anatomical locking plate(PFLP) in the treatment of subtrochanteric fractures of femur.Methods The clinical data of sixty-five cases of subtrochanteric fracture treated with InterTan or PFLP from February 2011 to February 2016 were analyzed retrospectively. The operation time, blood loss, hospitalization time, fracture healing time, limb full weight-bearing time, Harris hip scores of postoperative 1 month, 3 months, 6 months and 12 months and postoperative complications were compared between the two groups.Results Sixty-five cases were followed up for 16～26(21.80±2.51)months. The operation time and blood loss in InterTan group were significantly less than those in PFLP group(P<0.05). There were no significant differences between the two groups in hospitalization time, fracture healing time, and limb full weight-bearing time(P>0.05). The Harris hip scores of InterTan group were significantly higher than those of PFLP group 1 and 3 months after the operation(P<0.05), but there were no significant differences in Harris hip scores of 6 and 12 months after operation between the two groups(P>0.05).Conclusion Both InterTan and PFLP internal fixation can be used as an effective method for the treatment of subtrochanteric fractures of the femur. However, InterTan has shorter operation time, less amount of blood loss, slighter postoperative pain and earlier postoperative functional recovery than PFLP. |
| Key words: Subtrochanteric fracture InterTan Proximal femoral anatomical locking plate(PFLP) Internal fixation |
