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目的:随访Inter Tan髓内钉治疗老年(年龄≥60)骨质疏松性股骨转子间骨折的中远期疗效,并比较各AO分组的差异等。方法:收集西京医院2010年1月至2015年1月收治的病例,共59例。随访其术后骨折恢复情况并做髋关节功能Harris评分,然后将这些病例按照AO分型,分为A1、A2组,比较两组在手术时间、出血量和术后功能恢复方面有无差异。结果:患者出现实质性影响功能的损害病例为髋关节疼痛8例,肢体短缩3例,大腿疼痛伴肌肉萎缩1例,股骨干因跌坐骨折1例。Harris评分标准评定优:40例,良:12例,可:3例,差:2例。A1、A2分型组在手术时间及术后功能恢复方面没有显著性差异;术中失血量A2组较A1组多,有统计学意义(P=0.022)。结论:Inter Tan治疗老年骨质疏松患者股骨转子间骨折,效果较好,术后Harris评分优良率为91.2%;A2组较A1组术中出血较多,手术时间及术后恢复无显著差异。
OBJECTIVE: To investigate the long-term and long-term efficacy of Inter Tan intramedullary nailing in the treatment of osteoporotic femoral intertrochanteric fractures in the elderly (≥60 years), and to compare the differences between the AO groups. Methods: The cases of Xijing Hospital from January 2010 to January 2015 were collected, a total of 59 cases. The postoperative fracture recovery was followed up and the Harris score of hip function was obtained. The cases were divided into A1 and A2 groups according to the AO classification. The differences in operative time, blood loss and postoperative functional recovery were compared between the two groups. Results: Eight cases of hip joint pain, three cases of limb shortening, one case of thigh pain with muscle atrophy and one case of femoral shaft fracture caused by hip fracture were found in patients with substantial impairment of function. The Harris score was excellent in 40 cases, good in 12 cases, fair in 3 cases and poor in 2 cases. There was no significant difference in the operation time and postoperative functional recovery between the A1 and A2 classification groups. The blood loss in the A2 group was more than that in the A1 group (P = 0.022). Conclusion: Inter Tan treatment of elderly patients with osteoporosis femoral intertrochanteric fractures, the effect is good, postoperative Harris score excellent and good rate was 91.2%; A2 group than in group A1 bleeding more surgery time and postoperative recovery was no significant difference.