[1]孔祥龙 王学超 张铮△.克氏针辅助电磁导航内固定术治疗股骨粗隆间骨折40例[J].中国中医骨伤科杂志,2022,30(06):68-71.
　KONG Xianglong WANG Xuechao ZHANG Zheng.40 Cases Clinical Study on Internal Fixation on the Treatment of Femoral Intertrochanteric Fractures by Kirschner Wire Assisted Electromagnetic Navigation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(06):68-71.
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克氏针辅助电磁导航内固定术治疗股骨粗隆间骨折40例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年06期
页码:
68-71
栏目:
临床报道
出版日期:
2022-06-15

文章信息/Info

Title:
40 Cases Clinical Study on Internal Fixation on the Treatment of Femoral Intertrochanteric Fractures by Kirschner Wire Assisted Electromagnetic Navigation
文章编号:
1005-0205(2022)06-0068-04
作者:
孔祥龙1 王学超1 张铮1△
1中国人民解放军联勤保障部队第九八一医院创伤骨科(河北 承德,067000)
Author(s):
KONG Xianglong1 WANG Xuechao1 ZHANG Zheng1△
1Department of Trauma and Orthopedics,981 Hospital of the Joint Logistics Support Force of the Chinese People’s Liberation Army,Chengde 067000,Hebei China.
关键词:
克氏针;  电磁导航;  髓内钉;  固定;  股骨粗隆间骨折
Keywords:
Kirschner wire;  electromagnetic navigation;  intramedullary nail;  fixation;  intertrochanteric fracture of the femur
分类号:
R683.42
文献标志码:
B
摘要:
目的:探索股骨粗隆间骨折患者进行克氏针辅助电磁导航的股骨近端抗旋髓内钉(PFNA)内固定术的临床疗效。方法:前瞻性选取40例股骨粗隆间骨折患者,均在2016年1月至2021年8月期间收治,均采用克氏针辅助电磁导航PFNA内固定术,分析术后评估指标及优良率、术后并发症发生率。经随访,评估术后1个月和术后3个月的髋关节评分(Harris评分)、疼痛视觉模拟评分法(VAS)评分。结果:40例患者均顺利完成手术,优良率为97.50%(39/40),术后并发症发生率为5.00%(2/40)。同时患者术后3个月的疼痛(36.41±2.12)分、功能(37.86±2.11)分、肢体畸形(2.86±0.65)分、活动范围(3.22±0.27)分、Harris总分(78.95±4.54)分均高于术后1个月及术前,差异有统计学意义(P<0.05),VAS评分(1.37±0.11)分低于术后1个月及术前,差异有统计学意义(P<0.05)。结论:对股骨粗隆间骨折患者实施克氏针辅助电磁导航PFNA内固定术效果显著,利于骨折愈合,降低术后并发症发生率。
Abstract:
Objective:To explore the efficacy of proximal femoral intramedullary nail with Kirschner wire assisted electromagnetic navigation in treating of patients with proximal femoral nail antirotation(PFNA)internal fixation.Methods:40 patients with femoral intertrochanteric fracture were selected prospectively from January 2016 to August 2021.They were treated with Kirschner wire assisted electromagnetic navigation PFNA internal fixation.The operation indexes,excellent and good rate and postoperative complication rate were analyzed.After follow-up,the hip scores at 1 month and 3 months after operation were evaluated by Harris scores and pain visual analogue scale(VAS)scores.Results:All 40 patients successfully completed the operation,the excellent and good rate was 97.50%(39/40),and the incidence of postoperative complications was 5.00%(2/40).At the same time,the pain scores(36.41 ± 2.12),function scores(37.86 ± 2.11),limb deformity scores(2.86 ± 0.65),range of motion(3.22 ± 0.27)and Harris total scores(78.95 ± 4.54)at 3 months after operation were higher than that 1 month after operation and before operation(P<0.05).The VAS scores(1.37±0.11)was lower than that 1 month after operation and before operation(P<0.05).Conclusion:The efficacy of Kirschner wire assisted electromagnetic navigation PFNA internal fixation in treating patients with femoral intertrochanteric fractures is significant,which can facilitate fracture healing and reduce postoperative complications.

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备注/Memo

备注/Memo:
基金项目:承德市科技支撑计划项目(201701A125)
△通信作者 E-mail:zhangzheng0006@163.com
更新日期/Last Update: 1900-01-01