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[1]周志剛,翁偉,楊紅航,等.側(cè)臥位手法牽引復(fù)位在難復(fù)性股骨轉(zhuǎn)子間骨折股骨近端防旋髓內(nèi)釘內(nèi)固定術(shù)中的應(yīng)用[J].中醫(yī)正骨,2021,33(06):64-66+69.
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側(cè)臥位手法牽引復(fù)位在難復(fù)性股骨轉(zhuǎn)子間骨折股骨近端防旋髓內(nèi)釘內(nèi)固定術(shù)中的應(yīng)用()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期數(shù):
2021年06期
頁(yè)碼:
64-66+69
欄目:
臨床報(bào)道
出版日期:
2021-06-20

文章信息/Info

作者:
周志剛翁偉楊紅航孫振國(guó)
湖州市第一人民醫(yī)院,浙江 湖州 313000
關(guān)鍵詞:
髖骨折 轉(zhuǎn)子間骨折 骨折固定術(shù)髓內(nèi) 骨牽引復(fù)位法 股骨近端防旋髓內(nèi)釘
摘要:
目的:探討側(cè)臥位手法牽引復(fù)位在難復(fù)性股骨轉(zhuǎn)子間骨折股骨近端防旋髓內(nèi)釘(proximal femoral nail antirotation,PFNA)內(nèi)固定術(shù)中的應(yīng)用價(jià)值。方法:2013年12月至2018年12月,采用PFNA內(nèi)固定術(shù)治療難復(fù)性股骨轉(zhuǎn)子間骨折患者54例,術(shù)中均采用側(cè)臥位手法牽引復(fù)位。男35例,女19例。年齡52~84歲,中位數(shù)72歲。骨折按照AO分型標(biāo)準(zhǔn),A2型24例、A3型30例。術(shù)后隨訪觀察骨折愈合、患肢完全負(fù)重及并發(fā)癥發(fā)生情況,并采用Harris髖關(guān)節(jié)功能評(píng)分標(biāo)準(zhǔn)評(píng)價(jià)髖關(guān)節(jié)功能。結(jié)果:術(shù)中經(jīng)側(cè)臥位手法牽引后骨折均成功復(fù)位。手術(shù)時(shí)間48~87 min,中位數(shù)59 min。術(shù)中出血量62~113 mL,中位數(shù)85 mL。切口均甲級(jí)愈合。所有患者均獲隨訪,隨訪時(shí)間16~34個(gè)月,中位數(shù)25個(gè)月。骨折均愈合,愈合時(shí)間11~15周,中位數(shù)13周。患肢完全負(fù)重活動(dòng)時(shí)間8~12周,中位數(shù)10周。末次隨訪時(shí),本組Harris髖關(guān)節(jié)功能評(píng)分(92.61±5.53)分,優(yōu)45例、良5例、可4例。所有患者均未發(fā)生患肢短縮、髖內(nèi)翻、感染、內(nèi)固定物失效、股骨頭壞死等并發(fā)癥。結(jié)論:在難復(fù)性股骨轉(zhuǎn)子間骨折PFNA內(nèi)固定術(shù)中采用側(cè)臥位手法牽引復(fù)位,操作簡(jiǎn)單,復(fù)位效果好,損傷小,骨折愈合率高,患肢完全負(fù)重時(shí)間早,髖關(guān)節(jié)功能恢復(fù)好,安全性高。

參考文獻(xiàn)/References:

[1] 胡金璽,賀常仁,劉芳,等.微創(chuàng)鋼絲導(dǎo)入器引導(dǎo)下的鋼絲復(fù)位技術(shù)在難復(fù)性股骨轉(zhuǎn)子間骨折治療中的應(yīng)用[J].中國(guó)修復(fù)重建外科雜志,2019,33(10):1245-1249.
[2] CHEN P H,WU C C,CHEN W J.Factors affect stability of intertrochanteric fractures when elderly patients fall[J].Biomed J,2016,39(1):67-71.
[3] JIA L,ZHANG K,WANG Z G,et al.Proximal femoral nail antirotation internal fixation in treating intertrochanteric femoral fractures of elderly subjects[J].J Biol Regul Homeost Agents,2017,31(2):329-334.
[4] 田偉.實(shí)用骨科學(xué)[M].2版.北京:人民衛(wèi)生出版社,2016:508-511.
[5] 蔣協(xié)遠(yuǎn),王大偉.骨科臨床療效評(píng)價(jià)標(biāo)準(zhǔn)[M].北京:人民衛(wèi)生出版社,2005:132-134.
[6] 朱立軍,李曉飛,劉超,等.不同手術(shù)方法治療高齡股骨粗隆間骨折的病例對(duì)照研究[J].中國(guó)骨傷,2017,30(7):607-611.
[7] LUO W,FU X,MA J X,et al.Biomechanical comparison of intertan nail and gamma3 nail for intertrochanteric fractures[J].Orthop Surg,2020,12(6):1990-1997.
[8] HARRIS W H.Traumatic arthritis of the hip after dislocation and acetabular fractures:treatment by mold arthroplasty.An end-result study using a new method of result evalu-ation[J].J Bone Joint Surg Am,1969,51(4):737-755.
[9] 佟大可,丁文彬,王光超,等.難復(fù)性股骨轉(zhuǎn)子間骨折的臨床分型與治療[J].中華創(chuàng)傷骨科雜志,2017,19(2):109-114.
[10] 趙鵬,李東亮,楊飛,等.難復(fù)位性股骨粗隆間骨折的影像學(xué)特點(diǎn)及手術(shù)療效[J].中國(guó)骨傷,2016,29(8):693-696.
[11] CONG L,DONGYANG Z,XIAN X,et al.Three-dimensional computed tomography(CT)mapping of intertrochanteric fractures in elderly patients[J].Med Sci Monit,2020,26:e925452.
[12] 張樹(shù),張繼源,楊杜明,等.矢狀位不穩(wěn)定轉(zhuǎn)子間骨折的形態(tài)特征和復(fù)位技術(shù)[J].北京大學(xué)學(xué)報(bào)(醫(yī)學(xué)版),2017,49(2):236-241.
[13] YU X,WANG H,DUAN X,et al.Intramedullary versus extramedullary internal fixation for unstable intertrochanteric fracture,a meta-analysis[J].Acta Orthop Traumatol Turc,2018,52(4):299-307.
[14] SONMEZ M M,CAMUR S,ERTURER E,et al.Strategies for proximal femoral nailing of unstable intertrochanteric fractures:lateral decubitus position or traction table[J].J Am Acad Orthop Surg,2017,25(3):37-44.
[15] 朱濤,周瞳瞳,謝軍,等.側(cè)臥位股骨近端防旋髓內(nèi)釘內(nèi)固定治療老年股骨粗隆間骨折的臨床體會(huì)[J].中國(guó)骨與關(guān)節(jié)損傷雜志,2018,33(4):399-400.
[16] ZHAO K, ZHANG J, LI J,et al.In-hospital postoperative pneumonia following geriatric intertrochanteric fracture surgery: incidence and risk factors[J].Clin Interv Aging,2020,15:1599-1609.
[17] 康亦鋒,徐勇強(qiáng),馮嗣寅,等.側(cè)臥位牽引復(fù)位股骨近端防旋髓內(nèi)釘治療難復(fù)性股骨轉(zhuǎn)子間骨折[J].中國(guó)組織工程研究,2018,22(19):2988-2993.
[18] LAKHO M T,JATOI A A,AZFAR M K,et al.Functional and radiological outcome of unstable intertrochanteric fracture post dynamic hip screw fixation[J].Cureus,2019,11(4):43-46.
[19] 陳忠益,曾國(guó)慶,黃建軍.PFNA治療高齡不穩(wěn)定型股骨轉(zhuǎn)子間骨折的效果及對(duì)創(chuàng)傷應(yīng)激程度的影響[J].中國(guó)醫(yī)學(xué)創(chuàng)新,2020,17(31):22-25.
[20] 郭歡.經(jīng)股骨轉(zhuǎn)子骨折塊間入路治療不穩(wěn)定型股骨轉(zhuǎn)子間骨折的療效及功能評(píng)分觀察[J].當(dāng)代臨床醫(yī)刊,2020,33(5):423-424.
[21] 金浙凱.InterTAN與DHS治療高齡不穩(wěn)定型股骨轉(zhuǎn)子間骨折臨床療效比較[J].浙江醫(yī)學(xué),2020,42(8):844-846.
[22] 曾錦源,葉君健,謝昀,等.股骨近端防旋髓內(nèi)釘內(nèi)固定治療老年不穩(wěn)定型股骨轉(zhuǎn)子間骨折中螺旋刀片位置的研究[J].中國(guó)修復(fù)重建外科雜志,2020,34(5):569-573.
[23] 梅曉亮,張震祥,唐炬,等.生物型加長(zhǎng)柄半髖關(guān)節(jié)置換治療高齡不穩(wěn)定型股骨轉(zhuǎn)子間骨折[J].臨床骨科雜志,2019,22(6):681-683.
[24] SHIN Y S,CHAE J E,KANG T W,et al.Prospective randomized study comparing two cephalomedullary nails for elderly intertrochanteric fractures:Zimmer natural nail versus proximal femoral nail antirotation II[J].Injury,2017,48(7):1550-1557.
[25] MAKKI D,MATAR H E,JACOB N,et al.Comparison of the reconstruction trochanteric antigrade nail(TAN)with the proximal femoral nail antirotation(PFNA)in the management of reverse oblique intertrochanteric hip fractures[J].Injury,2015,46(12): 2389-2393.

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更新日期/Last Update: 2021-12-20