[1]曲磊,李计东,李博,等.双反牵引复位结合PFNA治疗股骨粗隆间骨折的初步临床应用[J].中华老年骨科与康复电子杂志,2020,(02):94-98.[doi:10.3877/cma.j.issn.2096-0263.2020.02.006]
　Qu Lei,Li Jidong,Li Bo,et al.Preliminary clinical application of bidirectional reduction combined with PFNA in the treatment of intertrochanteric fracture of femur[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2020,(02):94-98.[doi:10.3877/cma.j.issn.2096-0263.2020.02.006]
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双反牵引复位结合PFNA治疗股骨粗隆间骨折的初步临床应用()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2020年02期
页码:
94-98
栏目:
髋部骨折
出版日期:
2020-04-05

文章信息/Info

Title:
Preliminary clinical application of bidirectional reduction combined with PFNA in the treatment of intertrochanteric fracture of femur
作者:
曲磊; 李计东; 李博; 李金龙; 刘丽霞; 刘静; 王金; 李静桥
050300 石家庄，井陉县医院骨科
Author(s):
Qu Lei;  Li Jidong;  Li Bo;  Li Jinlong;  Liu Lixia;  Liu Jing;  Wang Jin;  Li Jingqiao.
Department of Orthopeadics, Jing Xing County Hospital, Shijiazhuang 050300, China
关键词:
髋骨折;  双反牵引;  微创外科手术
Keywords:
Hip fractures;  Bidirectionaln;  Minimally invasive surgical procedures
DOI:
10.3877/cma.j.issn.2096-0263.2020.02.006
文献标志码:
A
摘要:
目的 探讨双反牵引技术辅助闭合复位PFNA内固定治疗股骨粗隆间骨折的临床效果。方法 选取2015年5月至2017年5月在本院接受治疗的80例股骨粗隆间骨折患者为研究对象，其中失访者10例，根据复位方式的区别，将其分为双反牵引复位组与牵引床复位组。对比两组手术时间、术中出血量等各项指标间的差异。结果 70例患者术后获得随访，随访率87.5%，平均随访14个月。男性31例，女性39例，平均年龄（83.8±0.5）岁。双反牵引组患者手术时间、出血量及术中骨折复位时间、术中透视次数[（76±11）min，（80±90）ml，（12±3）min，（20±2）次]少于牵引床组[（85±13）min，（100±104）ml，（25±3）min，（25±3）次]，差异具有统计学意义（t=1.624，P=0.043；t=-1.773，P=0.037；t=1.362, P=0.041；t=-2.757，P=0.035），双反牵引复位组术后1 、3个月患侧髋、膝功能评分明显优于牵引床复位组（P＜0.05 ）， 术后6、12个月两组髋膝功能评分比较，差异无统计学意义（P＞0.05）。结论 双反牵引复位股骨粗隆间骨折操作简便，复位质量高，对周围组织血运保护好、时间短、康复快，近期疗效优。
Abstract:
Objective To study the double reverse drawing technology auxiliary closed reduction and PFNA intertrochanteric fractures treated by internal fixation. Methods The clinical effect of selection in May 2015 to May 2017 in our hospital for treatment of 80 patients with intertrochanteric fractures as the research object, the loss of visitor 10 cases, according to the difference between the reset mode, it can be divided into bidirectional group and traction bed group. The differences of the two groups were compared such as operation time, intraoperative blood loss and other indicators. Results 70 patients were followed up after surgery with a follow-up rate of 87.5 %, an average of 14 months. There were male 31, female 39, and the average age was (83.8±0.5). Operative time, blood loss, intraoperative fracture reduction time, and intraoperative fluoroscopy times of bidirectional group [(76±11) min, (80±90) ml, (12±3) min, (20±2) times] were less than raction bed group [(85±13) min, (100±104) ml, (25±3) min, (25±3) times], the difference was statistically significant (t=1.624, P=0.043; t=-1.773, P=0.037; t=1.362, P=0.041; t=-2.757, P=0.035). The hip and knee function scores of the bidirectional group at 1 and 3 months after surgery were significantly better than those of the traction bed group, the differences were statistically significant (P<0.05). There was no significant difference in the scores of the two groups at 6 and 12 months after operation, the difference was not statistically significant (P>0.05). Conclusion Bidirectional reduction intertrochanteric fracture can make surgery easier, high quality of reduction, blood supply to protect the surrounding tissue, and the operative time is short, quick recovery, the recent excellent results.

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更新日期/Last Update: 2020-07-07