InterTan髓内钉结合术中氨甲环酸髓腔灌洗治疗老年股骨粗隆间骨折的临床效果

打开文本图片集

Clinical effect InterTan intramedullarynail combined with intraoperative tranexamicacid intramedullary cavity irrigation in the treatment intertrochanteric fractures in the elderly Sun Zhenguo, Liang Xin，Xian Hong，Cai Ye,Bai Xiang.

【Abstract】ObjectiveTo explore the clinical effect InterTan intramedullarynail internal fixation combined with tranexamicacid intramedullarycavity irigationin the treatment intertrochanteric fractures inthe elderly.MethodsA total 8Oelderly patientswith intertrochanteric femoral fractureswho received InterTan intramedullary nailing treatment from January 2O22 to December 2O23 were selectedas theresearch subjects. According to whether tranexamicacid wasused for percutaneous spinal canal lavage during the operation,they were divided into two groups: tranexamicacid spinal canal lavage groupand theconventional group,with 4O cases ineach group.Thesurgical time,blood los,hospital stay,fracture healing time,fracture-relatedcomplications, Harris hip score at the last follw-up,and SF-36 quality lifescore werecompared between the two groups to evaluatethetherapeuticeffct.ResultsAmong the 8O patientsincluded inthestudy，thesurgical incisions healed in one stage in allcases,and all fractures achieved bony healing.The folow-up period was 6-25months. No complications occurredduring the follow-up period.The surgical timeand hospital stay patients in the tranexamic acid spinal canal lavage group [(74±7)min,(9.5±1.6)d] and those in the conventional group[(69±6)min, (10.0±1.4)d] were compared,and the difference was not statistically significant ( P =0.064,0.076)，the blood loss andfracturehealing time[(215±9)ml,(12.21±0.24)weeks]were beter than those intheconventional group[(293±8) ml,(14.45±1.53)w],and the differencewas statistically significant ( P

0.001).ConclusionThe application InterTanintramedullrynailingcombined with intraoperative tranexamic acidspinal canallavageinthe treatment intertrochantericfemoral fracturescanreducebloodlossandfacilitate therapid recovery hip joint function and self-care ability.

股骨联合加压髓内钉(femoralcombinedcom-pressionintramedullarynail,InterTan）是应用于股骨粗隆间骨折内固定的新方式，以其更优的生物力学设计及更高的抗旋转能力，相较于股骨近端抗旋髓内 钉（proximal femoral nail antirotation,PFNA)术后出现内固定不稳定、骨折复位不佳等情况的概率更低，而成为目前临床医师治疗老年股骨粗隆间骨折的重要方式[1,2]。（剩余8588字）