[1]史纪元,武世勋,刘时璋,等.瓦格纳型假体置换术治疗股骨转子间骨折(Evans Ⅳ型)近期临床疗效观察*[J].陕西医学杂志,2020,49(12):1580-1583.[doi:DOI:10.3969/j.issn.1000-7377.2020.12.011]
　SHI Jiyuan,WU Shixun,LIU Shizhang,et al.Short term effect of Wagner-type prosthesis replacement in the treatment of femoral intertrochanteric fracture(Evans type Ⅳ)[J].,2020,49(12):1580-1583.[doi:DOI:10.3969/j.issn.1000-7377.2020.12.011]
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瓦格纳型假体置换术治疗股骨转子间骨折(Evans Ⅳ型)近期临床疗效观察*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
49
期数:
2020年12期
页码:
1580-1583
栏目:
临床研究
出版日期:
2020-12-05

文章信息/Info

Title:
Short term effect of Wagner-type prosthesis replacement in the treatment of femoral intertrochanteric fracture(Evans type Ⅳ)
作者:
史纪元1; 武世勋1; 刘时璋1; 易 智1; 傅 蔷2△
1.陕西省人民医院骨科(西安 710068); 2.西安市儿童医院血液肿瘤科(西安 710003)
Author(s):
SHI Jiyuan; WU Shixun; LIU Shizhang; et al.
Department of Orthopedics,Shaanxi Provincial People's Hospital(Xi'an 710068)
关键词:
生物型假体;  股骨转子间骨折;  关节功能;  并发症
Keywords:
Biotype prosthesis;  Femoral intertrochanteric fracture;  Joint function;  Complication
分类号:
R687.3
DOI:
DOI:10.3969/j.issn.1000-7377.2020.12.011
文献标志码:
A
摘要:
目的:对比瓦格纳型(生物型)假体置换术与内固定术治疗股骨转子间骨折(Evans Ⅳ型)的近期疗效。方法:选择74股骨转子间骨折(Evans Ⅳ型)患者为研究对象,按照简单随机分组法分为观察组和对照组,每组37例。观察组采用瓦格纳型(生物型)假体置换术治疗,对照组采用内固定术治疗。比较两组手术疗效、关节功能恢复情况及并发症发生情况。结果:观察组手术时长、术后下地时间均显著低于对照组,差异均具有统计学意义(P<0.05)。两组术后引流量和术中出血量比较,差异无统计学意义(P>0.05)。术前两组髋关节Harris评分及Singh指数比较均无统计学差异(P>0.05)。术后3、6个月两组髋关节Harris评分及Singh指数均较术前显著升高(P<0.05),且观察组髋关节Harris评分均显著高于对照组(P<0.05),但两组Singh指数比较均无统计学差异(P>0.05)。观察组并发症发生率与对照组比较无统计学差异(P>0.05)。结论:与内固定术相比,瓦格纳型(生物型)假体置换术治疗不稳定型Evans Ⅳ型股骨转子间骨折近期疗效较好。
Abstract:
Objective:To compare the efficacy of Wagner-type(biotype)prosthesis replacement and internal fixation in the treatment of intertrochanteric fracture(Evans type Ⅳ).Methods:74 patients with intertrochanteric fracture(Evans type Ⅳ)were randomly divided into observation group and control group,37 cases in each group.The observation group was treated with Wagner-type prosthesis replacement,while the control group was treated with internal fixation.The curative effect,joint function recovery and complications of the two groups were compared.Results:The operation time and postoperative ambulation time of the observation group were significantly lower than those of the control group(P<0.05).There was no significant difference in postoperative drainage volume and intraoperative blood loss between the two groups(P>0.05).There was no significant difference in Harris score and Singh index before operation between the two groups(P>0.05).At 3 months and 6 months after surgery,the Harris score and Singh index of the two groups were significantly higher than those before operation(P<0.05),and the Harris score of the observation group was significantly higher than that of the control group(P<0.05),but there was no significant difference in Singh index between the two groups(P>0.05).There was no significant difference in the incidence of complications between the observation group and the control group(P>0.05).Conclusion:Compared with internal fixation,Wagner-type(biotype)prosthesis replacement has better short-term effect in the treatment of unstable Evans type Ⅳ intertrochanteric fracture.

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备注/Memo

备注/Memo:
*陕西省重点研发计划项目(2017SF-259)
更新日期/Last Update: 2020-12-11