摘要
目的探究经皮骨钩股骨近端防旋髓内钉(PFNA)内固定术治疗股骨粗隆间骨折的疗效及安全性。方法前瞻性选取2020年6月至2022年6月在我院进行手术治疗的212例股骨粗隆间骨折患者作为研究对象,采用随机数字表法分为观察组与对照组,各106例。对照组患者采取PFNA内固定术治疗,观察组在对照组基础上使用经皮骨钩技术复位。对比2组患者手术与康复相关指标;比较2组术前及术后1、2个月髋关节功能Harris评分、Barthel指数评分差异;观察2组并发症发生情况。结果观察组手术时间明显长于对照组(P<0.05),术后住院时间、开始负重时间及骨折愈合时间均短于对照组(P<0.05)。重复测量方差结果表明,2组患者不同时点Harris评分以时间因素为源、以组别为源的主体间效应及以时间与组别交互为源的主体内效应间比较差异具有统计学意义(P<0.05);观察组术后1、2个月Harris评分均显著高于对照组(P<0.05)。重复测量方差结果表明,2组患者不同时点Barthel指数评分以时间因素为源、以组别为源的主体间效应及以时间与组别交互为源的主体内效应间比较差异具有统计学意义(P<0.05);观察组术后1、2个月Barthel指数评分均显著高于对照组(P<0.05)。观察组并发症总发生率显著低于对照组(P<0.05)。结论经皮骨钩PFNA内固定术治疗股骨粗隆间骨折的效果显著,能够有效促进患者康复,改善髋关节功能及功能障碍,减少并发症的发生。
Objective To explore the efficacy and safety of percutaneous reduction by bone hook combined with proximal femoral nail anti-rotation fixation(PFNA)internal fixation in the treatment of patients with femoral intertrochanteric fracture.Methods A total of 212 patients with femoral intertrochanteric fracture who underwent surgical treatment in the our hospital from June 2020 to June 2022 were prospectively selected as the study object,and they were randomly divided into the observation group and the control group,with 106 cases in each group.The patients in the control group were treated with PFNA internal fixation,and the patients in the observation group was treated with percutaneous reduction by bone hook technique on the basis of the control group.The indexes related to operation and rehabilitation between the two groups were compared,and the differences of Harris hip function scale(Harris)score and Barthel index before operation and 1 month,2 months after operation of the two groups were compared.The occurrence of complications in the two groups was observed.Results The surgery time in the observation group was significantly longer than that in the control group,and the postoperative hospitalization,time to start weight bearing and fracture healing time were all shorter than those in the control group(P<0.05).The results of repeated measurement of variance showed that there were statistically significant differences in Harris score between the two groups at different time points in terms of the intersubjective effect based on time factor and group,and the intra-subjective effect based on the interaction between the time and the group(P<0.05).The Harris score 1 month and 2 months after operation in the observation group were significantly higher than those in the control group(P<0.05).The results of repeated measurement of variance showed that the differences of Barthel index score at different time points between the two groups were statistically significant in terms of the intersubjective effect based on time
作者
马超
宋矿朋
刘向林
MA Chao;SONG Kuang-peng;LIU Xiang-lin(Second Department of Arthrology and Osteology,Hengshui Fourth People's Hospi‐tal,Hengshui Hebei 053000,China)
出处
《局解手术学杂志》
2023年第7期625-628,共4页
Journal of Regional Anatomy and Operative Surgery
基金
衡水市科技计划项目(2019014007Z)。
关键词
经皮骨钩技术
股骨近端防旋髓内钉
内固定
股骨粗隆间骨折
临床疗效
并发症
percutaneous bone hook technique
proximal femoral nail anti-rotation fixation
internal fixation
femoral intertrochanteric fracture
clinical efficacy
complication
