组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2014, Vol. 10 ›› Issue (2): 100-103.doi: 10.3969/j.issn.1673-0364.2014.02.010

• 论著 • 上一篇    下一篇

INTERTAN髓内钉与滑动髋螺钉治疗老年性粗隆间和粗隆下骨折的临床比较

章暐，邹剑   

  1. 上海交通大学医学院附属第六人民医院骨科
  • 发布日期:2020-07-23

Comparative Effectiveness of INTERTAN Intramedullary Nail and Sliding Hip Screw in Treating Intertrochanteric or Subtrochanteric Fracture of Elderly Patients

ZHANG Wei,ZOU Jian   

  1. Department of Orthopedics,Shanghai Sixth People’s Hospital,Shanghai Jiaotong University School of Medicine;
  • Published:2020-07-23

摘要： 目的比较INTERTAN髓内钉与滑动髋螺钉(DHS)治疗老年性粗隆间和粗隆下骨折的手术疗效。方法自2010年1月至2012年1月,对120例股骨粗隆间或粗隆下骨折患者分别行INTERTAN髓内钉或DHS固定治疗,其中INTERTAN组67例,DHS组53例。记录手术时间、术中出血量、术后引流量;进行术后疼痛评估、Harris髋骨评分、SF-36生活质量评估;记录并发症情况。结果本组中共有111例(INTERTAN组64例、DHS组47例)患者完成随访。两组间的手术时间无显著差异。DHS组的平均失血量及术后引流量较大,与INTERTAN组相比存在明显差异。VAS疼痛评分中,INTERTAN组术后3 d的VAS评分要优于DHS组,存在统计学差异;但术后3个月及12个月的随访中无明显差异。在术后3个月及12个月后,两组的Harris髋关节评分和SF-36生活质量评分没有统计学差异。结论 INTERTAN和DHS治疗股骨粗隆间或粗隆下骨折,术后疼痛、功能、并发症的结果无明显差异。

关键词: INTERTAN髓内钉, 滑动髋螺钉, 粗隆间骨折, 粗隆下骨折

Abstract: Objective To compare the surgical efficacy between INTERTAN intramedullary nail and sliding hip screw in treating intertrochanteric or subtrochanteric fracture of old people. Methods From Jan 2010 to Jan 2012, 120 patients with Intertrochanteric or subtrochanteric Fractures were treated by INTERTAN intramedullary nail ( n=67) and sliding hip screw (n=53). Operation time, bleeding volume, amount of drainage, visual analogue scale (VAS) pain score, Harris hip score, SF-36 score and complications were recorded at each time points. Results Among all the patients, 111 patients (INTERTAN group: 64 cases; DHS group: 47 cases) were followed up for more than 1 year successfully. Bleeding volume and amount of drainage in INTERTAN group were larger than in DHS group. VAS score in INTERTAN group 3 days after operation was better than in DHS group, and there was no difference between the two groups 3 and 12 months after operation. There was no difference between the two groups in operation time, Harris hip score, SF-36 score and complications during the time of follow-up. Conclusion INTERTAN nails and sliding hip screws are similar in terms of pain, function, and comlications rates in treating intertrochanteric or subtrochanteric fractures.

Key words: INTERTAN intramedullary nail, Sliding hip screw fracture, Intertrochanteric fracture, Subtrochanteric fracture

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