中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (9): 1564-1568.doi: 10.3969/j.issn.1673-8225.2012.09.011

• 骨科植入物 orthopedic implant • 上一篇    下一篇

髓内钉InterTan与锁定钢板置入固定股骨转子间骨折的随访☆

茅泳涛，徐  炜，谢宗刚，周海斌，徐又佳，董启榕   

  1. 苏州大学附属第二医院骨科，江苏省苏州市 215004
  • 收稿日期:2011-10-26 修回日期:2011-12-19 出版日期:2012-02-26 发布日期:2012-02-26
  • 通讯作者: 董启榕，博士生导师，主任医师，苏州大学附属第二医院骨科，江苏省苏州市 215004 dong@szgk.net
  • 作者简介:茅泳涛☆，男，1974年生，江苏省启东市人，汉族，苏州大学在读博士，主治医师，主要从事创伤骨科，关节外科的研究。 i@szgk.net

Intramedullary nail InterTan and locking plate internal fixation for intertrochanteric fractures:   A follow-up study

Mao Yong-tao, Xu Wei, Xie Zong-gang, Zhou Hai-bin, Xu You-jia, Dong Qi-rong   

  1. Department of Orthopedics, the Second Affiliated Hospital of Soochow University, Suzhou 215004, Jiangsu Province, China
  • Received:2011-10-26 Revised:2011-12-19 Online:2012-02-26 Published:2012-02-26
  • Contact: Dong Qi-rong, Doctoral supervisor, Chief physician, Department of Orthopedics, the Second Affiliated Hospital of Soochow University, Suzhou 215004, Jiangsu Province, China dong@szgk.net
  • About author:Mao Yong-tao☆, Studying for doctorate, Attending physician, Department of Orthopedics, the Second Affiliated Hospital of Soochow University, Suzhou 215004, Jiangsu Province, China i@szgk.net

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摘要：

背景：股骨转子间骨折的治疗方法主要为髓内固定和髓外固定，各有优缺点。
目的：对比观察InterTan与锁定钢板治疗股骨转子间骨折的疗效。
方法：选择2009-01/2010-12苏州大学附属第二医院骨科收治的股骨转子间骨折患者50例，根据自愿选择治疗方式，分别采用InterTan和锁定钢板置入治疗转子间骨折。
结果与结论：50例患者均获得随访，随访时间6~10个月。所有患者均获得骨折愈合。InterTan组置入切口、出血量少于锁定钢板组，置入时间长于锁定钢板组(P < 0.05)，两组骨折愈合时间及Harris评分差异均无显著性意义(P > 0.05)。提示采用InterTan置入治疗时创伤更小。
关键词：髓内钉InterTan；锁定钢板；股骨转子间骨折；骨科；植入物
doi:10.3969/j.issn.1673-8225.2012.09.011

关键词: 髓内钉InterTan, 锁定钢板, 股骨转子间骨折, 骨科, 植入物

Abstract:

BACKGROUND: Intramedullary and extramedullary fixation for trochanteric fractures has its own advantages and disadvantages.
OBJECTIVE: To compare the effects of intramedullary nail InterTan and locking compression plate for the treatment of intertrochanteric fractures.
METHODS: A total of 50 patients with intertrochanteric fractures from Department of Orthopedics, the Second Affiliated Hospital of Soochow University from January 2009 to December 2010 were divided into two groups. Intertrochanteric fractures were treated with InterTan and locking compression plate respectively in the two groups.
RESULTS AND CONCLUSION: Totally 50 patients were followed-up for 6 to 10 months. Fractures in all the patients were healed. Approach incision and blood loss of the InterTan group were lower than those of the locking compression plate, but operation time of the InterTan group was longer than that of the locking compression plate (P < 0.05). There was no difference of fracture healing time and Harris score between the two groups (P > 0.05). It is indicated that InterTan for the treatment of the intertrochanteric fractures has slight invasion.

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