• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

比较两种治疗转子间骨折的髓内装置：前瞻性研究。

Comparing two intramedullary devices for treating trochanteric fractures: a prospective study.

机构信息

Orthopaedic Surgeon, Resident, Department of Orthopaedic Surgery, General Hospital of Volos, Polimeri 134, 38222 Greece.

出版信息

J Orthop Surg Res. 2010 Feb 18;5:9. doi: 10.1186/1749-799X-5-9.

DOI:10.1186/1749-799X-5-9
PMID:20167058
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2831869/
Abstract

BACKGROUND

Intertrochanteric fractures are surgically treated by using different methods and implants. The optional type of surgical stabilization is still under debate. However, between devices with the same philosophy, different design characteristics may substantially influence fracture healing. This is a prospective study comparing the complication and final functional outcome of two intramedullary devices, the intramedullary hip screw (IMHS) and the ENDOVIS nail.

MATERIALS AND METHODS

Two hundred fifteen patients were randomized on admission in two treatment groups. Epidemiology features and functional status was similar between two treatment groups. Fracture stability was assessed according to the Evan's classification. One hundred ten patients were treated with IMHS and 105 with ENDOVIS nail.

RESULTS

There were no significant statistical differences between the two groups regarding blood loss, transfusion requirements and mortality rate. In contrast, the number of total complications was significantly higher in the ENDOVIS nail group. Moreover, the overall functional and walking competence was superior in the patients treated with the IMHS nail.

CONCLUSIONS

These results indicate that the choice of the proper implant plays probably an important role in the final outcome of surgical treatment of intertrochanteric fractures. IMHS nail allows for accurate surgical technique, for both static and dynamic compression and high rotational stability. IMHS nail proved more reliable in our study regarding nail insertion and overall uncomplicated outcome.

摘要

背景

股骨转子间骨折采用不同的方法和植入物进行手术治疗。手术稳定的可选类型仍存在争议。然而，在具有相同理念的器械之间，不同的设计特点可能会对骨折愈合产生重大影响。这是一项前瞻性研究，比较了两种髓内器械，即髓内髋螺钉（IMHS）和 ENDOVIS 钉的并发症和最终功能结果。

材料和方法

215 名患者在入院时随机分为两组进行治疗。两组的流行病学特征和功能状态相似。骨折稳定性根据 Evan 分类进行评估。110 名患者接受 IMHS 治疗，105 名患者接受 ENDOVIS 钉治疗。

结果

两组在出血量、输血需求和死亡率方面无显著统计学差异。相比之下，ENDOVIS 钉组的总并发症数量明显更高。此外，接受 IMHS 钉治疗的患者的整体功能和行走能力更好。

结论

这些结果表明，选择合适的植入物可能在股骨转子间骨折手术治疗的最终结果中起着重要作用。IMHS 钉允许进行准确的手术技术，具有静态和动态加压以及高旋转稳定性。在我们的研究中，IMHS 钉在钉插入和整体无并发症结果方面更可靠。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c09/2831869/93bf1169e8fe/1749-799X-5-9-9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c09/2831869/508abbb545ee/1749-799X-5-9-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c09/2831869/ad379407ed46/1749-799X-5-9-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c09/2831869/ff15114c2a28/1749-799X-5-9-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c09/2831869/a72475131541/1749-799X-5-9-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c09/2831869/fd45fe46e8ab/1749-799X-5-9-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c09/2831869/dc20120108cb/1749-799X-5-9-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c09/2831869/5cc8c21dcf7d/1749-799X-5-9-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c09/2831869/65ea4bba8087/1749-799X-5-9-8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c09/2831869/93bf1169e8fe/1749-799X-5-9-9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c09/2831869/508abbb545ee/1749-799X-5-9-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c09/2831869/ad379407ed46/1749-799X-5-9-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c09/2831869/ff15114c2a28/1749-799X-5-9-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c09/2831869/a72475131541/1749-799X-5-9-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c09/2831869/fd45fe46e8ab/1749-799X-5-9-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c09/2831869/dc20120108cb/1749-799X-5-9-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c09/2831869/5cc8c21dcf7d/1749-799X-5-9-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c09/2831869/65ea4bba8087/1749-799X-5-9-8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c09/2831869/93bf1169e8fe/1749-799X-5-9-9.jpg

相似文献

1
Comparing two intramedullary devices for treating trochanteric fractures: a prospective study.比较两种治疗转子间骨折的髓内装置：前瞻性研究。
J Orthop Surg Res. 2010 Feb 18;5:9. doi: 10.1186/1749-799X-5-9.
2
Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures.用于囊外髋部骨折的伽马钉及其他髁上髓内钉与髓外植入物的比较
Cochrane Database Syst Rev. 2002(1):CD000093. doi: 10.1002/14651858.CD000093.
3
Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures.用于囊外髋部骨折的伽马钉及其他髁上髓内钉与髓外植入物的比较
Cochrane Database Syst Rev. 2002(4):CD000093. doi: 10.1002/14651858.CD000093.
4
Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures.用于囊外髋部骨折的伽马钉及其他髁头髓内钉与髓外植入物的比较
Cochrane Database Syst Rev. 2004(1):CD000093. doi: 10.1002/14651858.CD000093.pub2.
5
Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures in adults.用于成人髋关节囊外骨折的伽马钉及其他髁头髓内钉与髓外植入物的比较
Cochrane Database Syst Rev. 2008 Jul 16(3):CD000093. doi: 10.1002/14651858.CD000093.pub4.
6
Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures in adults.用于成人髋关节囊外骨折的伽马钉及其他髁上髓内钉与髓外植入物的比较
Cochrane Database Syst Rev. 2005 Oct 19(4):CD000093. doi: 10.1002/14651858.CD000093.pub3.
7
Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures.用于囊外髋部骨折的伽马钉及其他髁头髓内钉与髓外植入物的比较
Cochrane Database Syst Rev. 2000(2):CD000093. doi: 10.1002/14651858.CD000093.
8
Intramedullary fixation of high subtrochanteric femoral fractures: a study comparing two implant designs, the Gamma nail and the intramedullary hip screw.股骨粗隆下高位骨折的髓内固定：比较两种植入物设计（Gamma钉和髓内髋螺钉）的研究
J Orthop Trauma. 1998 May;12(4):249-52. doi: 10.1097/00005131-199805000-00006.
9
[Comparison of 2-Screw Implant and Antirotational Blade Implant in Treatment of Trochanteric Fractures].2枚螺钉型与防旋刀片型植入物治疗股骨转子间骨折的比较
Acta Chir Orthop Traumatol Cech. 2020;87(4):268-272.
10
Treatment for Trochanteric Fracture of the Femur with Short Femoral Nail: A Comparison between the Asian Intramedullary Hip Screw (IMHS) and the Conventional IMHS.应用股骨近端短钉治疗股骨转子间骨折：亚洲型髓内髋螺钉（IMHS）与传统IMHS的比较
J Nippon Med Sch. 2016;83(3):113-7. doi: 10.1272/jnms.83.113.

引用本文的文献

1
Assessing potential factors leading to perioperative peri-implant fracture in femoral pertrochanteric fracture osteosynthesis using the proximal femoral nail antirotation 2: A retrospective study.评估股骨粗隆间骨折切开复位内固定使用股骨近端防旋髓内钉 2 型导致围手术期种植体周围骨折的潜在因素：一项回顾性研究。
BMC Musculoskelet Disord. 2024 Nov 21;25(1):943. doi: 10.1186/s12891-024-08085-7.
2
Perioperative peri-implant fracture after osteosynthesis for geriatric femoral pertrochanteric fracture with the linear compression integrated screw intramedullary nail system (INTERTAN™): a retrospective study.老年股骨转子间骨折采用线性加压整合螺钉髓内钉系统（INTERTAN™）内固定术后围手术期种植体周围骨折：一项回顾性研究。
J Orthop Surg Res. 2023 Dec 6;18(1):932. doi: 10.1186/s13018-023-04441-w.
3

本文引用的文献

1
Proximal femoral nail failures in extracapsular fractures of the hip.髋关节囊外骨折中股骨近端髓内钉失败情况
J Orthop Surg (Hong Kong). 2008 Aug;16(2):146-9. doi: 10.1177/230949900801600203.
2
The treatment of stable and unstable proximal femoral fractures with a new trochanteric nail: results of a multicentre study with the Veronail.使用新型股骨转子钉治疗稳定型和不稳定型股骨近端骨折：Veronail多中心研究结果
Strategies Trauma Limb Reconstr. 2008 Apr;3(1):15-22. doi: 10.1007/s11751-008-0035-y. Epub 2008 Mar 29.
3
Proximal femoral nail for treatment of trochanteric femoral fractures.
Risk factors for cut-out in intertrochanteric fractures treated with proximal femoral nail of double proximal screw design.采用双近端螺钉设计的股骨近端髓内钉治疗的粗隆间骨折中骨块穿出的危险因素。
J Clin Orthop Trauma. 2022 Mar 17;28:101832. doi: 10.1016/j.jcot.2022.101832. eCollection 2022 May.
4
Surgical interventions for treating extracapsular hip fractures in older adults: a network meta-analysis.老年人髋关节囊外骨折的手术干预：一项网络荟萃分析。
Cochrane Database Syst Rev. 2022 Feb 10;2(2):CD013405. doi: 10.1002/14651858.CD013405.pub2.
5
Indigenous Proximal Femoral Nails and Their Novel Complications.国产股骨近端髓内钉及其新型并发症
Cureus. 2021 Jul 29;13(7):e16729. doi: 10.7759/cureus.16729. eCollection 2021 Jul.
6
A preliminary experience with a new intramedullary nail for trochanteric fractures.一种用于转子间骨折的新型髓内钉的初步经验。
Acta Biomed. 2020 May 30;91(4-S):122-127. doi: 10.23750/abm.v91i4-S.9726.
7
Preliminary experience with EBA ONE intramedullary nail for the treatment of pertrochanteric fractures.EBA ONE髓内钉治疗股骨转子间骨折的初步经验。
Acta Biomed. 2019 Dec 5;90(12-S):86-90. doi: 10.23750/abm.v90i12-S.8959.
8
Similar function and complications for patients with short versus long hip nailing for unstable pertrochanteric fractures.对于不稳定型转子间骨折患者，使用短髓内钉与长髓内钉治疗的功能及并发症相似。
SICOT J. 2018;4:23. doi: 10.1051/sicotj/2018023. Epub 2018 Jun 15.
9
Analysis of trabecular bone microstructure in osteoporotic femoral heads in human patients: in vivo study using multidetector row computed tomography.人类骨质疏松性股骨头小梁骨微结构分析：使用多排探测器计算机断层扫描的体内研究
BMC Musculoskelet Disord. 2016 Jan 12;17:13. doi: 10.1186/s12891-015-0848-z.
10
Intramedullary nails for extracapsular hip fractures in adults.成人髋关节囊外骨折的髓内钉
Cochrane Database Syst Rev. 2014 Sep 12;2014(9):CD004961. doi: 10.1002/14651858.CD004961.pub4.
用于治疗股骨转子间骨折的股骨近端髓内钉
J Orthop Surg (Hong Kong). 2007 Dec;15(3):273-7. doi: 10.1177/230949900701500305.
4
The treatment of trochanteric fractures of the femur.股骨转子间骨折的治疗
J Bone Joint Surg Br. 1949 May;31B(2):190-203.
5
Intramedullary fixation of intertrochanteric hip fractures: a comparison of two implant designs.股骨转子间髋部骨折的髓内固定：两种植入物设计的比较。
Int Orthop. 2007 Feb;31(1):71-6. doi: 10.1007/s00264-006-0128-5. Epub 2006 May 31.
6
Are short femoral nails superior to the sliding hip screw? A meta-analysis of 24 studies involving 3,279 fractures.短股骨钉是否优于滑动髋螺钉？一项涉及3279例骨折的24项研究的荟萃分析。
Int Orthop. 2006 Apr;30(2):69-78. doi: 10.1007/s00264-005-0028-0. Epub 2006 Feb 22.
7
Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures in adults.用于成人髋关节囊外骨折的伽马钉及其他髁上髓内钉与髓外植入物的比较
Cochrane Database Syst Rev. 2005 Oct 19(4):CD000093. doi: 10.1002/14651858.CD000093.pub3.
8
Slotted intramedullary hip screw nails reduce proximal mechanical unloading.开槽髓内髋螺钉可减少近端机械性负荷。
Clin Orthop Relat Res. 2003 Jan(406):176-84. doi: 10.1097/01.blo.0000037444.23683.b2.
9
More postoperative femoral fractures with the Gamma nail than the sliding screw plate in the treatment of trochanteric fractures.在治疗转子间骨折时，使用Gamma钉术后发生股骨骨折的情况比使用滑动螺钉钢板更多。
Acta Orthop Scand. 2001 Jun;72(3):252-6. doi: 10.1080/00016470152846574.
10
Reverse obliquity fractures of the intertrochanteric region of the femur.股骨转子间区域的反向斜形骨折。
J Bone Joint Surg Am. 2001 May;83(5):643-50. doi: 10.2106/00004623-200105000-00001.