Comparison of intramedullary nail fixation following two step closed reduction or limited open reduction for femoral subtrochanteric fractures / 中国骨伤
China Journal of Orthopaedics and Traumatology
; (12): 826-829, 2021.
Article
в Zh
| WPRIM
| ID: wpr-921899
Ответственная библиотека:
WPRO
ABSTRACT
OBJECTIVE@#To compare clinical efficacy of intramedullary nail fixation following two-step closed reduction or limited open reduction for femoral subtrochanteric fractures.@*METHODS@#Forty six patients with femoral subtrochanteric fractures were analyzed retrospectively from January 2014 to April 2020. Twenty four patients which including 16 males and 8 females, aged from 34 to 91 years old with an average of (55.42±18.25) years old, were treated with two step closed reduction and intramedullary nail fixation on supine position. Twenty-two patients which including 15 males and 7 females, aged from 33 to 87 years old with an average of (56.31±14.77) years old, were performed limited open reductionand intramedullary nail fixation. Operation time, intraoperative blood loss, complications and fracture healing time were recorded and compared between two groups. Postoperative Harris hip score at 8 months was applied to evalaute joint function.@*RESULTS@#All patients were successfully complete operation without incision infection. All patients were followed up from 8 to 36 months with an average of (18.2± 6.1) months. Introperation blood loss, operation time in closed reduction group were (157.92±51.07) ml, (82.08±13.43) min respectively, while in limited open reduction group were (230.91±87.88) ml, (92.73±12.79) min respectively; while there were statistical difference between two groups (@*CONCLUSION@#Femoral subtrochanteric fractures could be effectively treated by both methods. Two-step closed reduction and intramedullary nail fixation may be more advantageous in less tissue damage, shorter operation time and less intraoperative bleeding.
Key words
Полный текст:
1
База данных:
WPRIM
Основная тема:
Bone Nails
/
Retrospective Studies
/
Treatment Outcome
/
Fracture Healing
/
Femoral Fractures
/
Fracture Fixation, Intramedullary
/
Hip Fractures
Тип исследования:
Observational_studies
Пределы темы:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
Язык:
Zh
Журнал:
China Journal of Orthopaedics and Traumatology
Год:
2021
Тип:
Article