Accurate positioning way to modify minimally invasive incision in the treatment of intertrochanteric fractures with proximal femoral nail antirotation

doi:10.3969/j.issn.2095-4344.2014.17.011

Abstract

Abstract:

BACKGROUND: Closed reduction using proximal femoral nail antirotation gradually becomes the golden standard in the treatment of intertrochanteric fractures.
OBJECTIVE: To evaluate the advantages of proximal femoral nail antirotation in the treatment of intertrochanteric fractures by a new way that accurate positioning is used to modify the skin incision.
METHODS: Ninety-nine patients with intertrochanteric fractures undergoing proximal femoral nail antirotation were included in the study, including 41 cases in the modified incision group and 58 cases in the standard operation group. Length of skin incision, mean bleeding volume, mean operation time, mean hospitalization time and the Harris scores were compared between two groups postoperatively.
RESULTS AND CONCLUSION: Compared with the standard incision group, the mean bleeding volume and length of skin incision were decreased by 50.9% and 44% respectively in the modified incision group, as well as the mean operation time was also shorter in the modified incision group (P < 0.05). However, there was no difference in mean hospitalization time and Harris scores at the end of follow-up. The modified incision is more suitable for proximal femoral nail antirotation treatment of intertrochanteric fractures, with smaller incision, less trauma, shorter operation time and less blood loss.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

全文链接：

Key words: hip fractures, femur neck, internal fixators

CLC Number:

R318

Liang Chang-xiang, Zheng Xiao-qing, Chang Yun-bing, Gu Hong-lin, Huang Shuai-hao. Accurate positioning way to modify minimally invasive incision in the treatment of intertrochanteric fractures with proximal femoral nail antirotation[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(17): 2685-2690.

Figures/Tables 3

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