Department of Orthopedics Trauma, Binzhou Medical University Hospital, Binzhou, Shandong, China.
Department of Trauma Center, Binzhou Medical University Hospital, Binzhou, Shandong, China.
J Healthc Eng. 2022 Jan 25;2022:5340504. doi: 10.1155/2022/5340504. eCollection 2022.
The purpose of this study was to compare the clinical effectiveness of minimally invasive clamp-assisted reduction and open reduction with wire cerclage and intramedullary nails for unstable subtrochanteric fractures. Between January 2016 and October 2019, 68 patients who had unstable subtrochanteric fractures experienced intramedullary nail surgery in this retrospective study. There were 41 cases in the minimally invasive clamp or closed reduction group (group A) and 27 cases in the open reduction with wire cerclage group (group B). There were 3 cases of complications in group A and 2 cases of complications in group B. Remarkable distinction was observed between the two groups in the operation time ( < 0.05), quality of reduction ( < 0.05), and union time ( < 0.05). For the successful surgical treatment of unstable femoral subtrochanteric fractures, an anatomical reduction is crucial. Reduction and wire cerclage are cut to give medial support for the anatomical reduction, which has a positive effect on fracture healing.
本研究旨在比较微创夹辅助复位与切开复位钢丝环扎加髓内钉治疗不稳定型股骨转子下骨折的临床疗效。回顾性分析 2016 年 1 月至 2019 年 10 月收治的 68 例不稳定型股骨转子下骨折患者，均行髓内钉手术治疗。微创夹或闭合复位组（A 组）41 例，切开复位钢丝环扎组（B 组）27 例。A 组并发症 3 例，B 组并发症 2 例。两组手术时间（<0.05）、复位质量（<0.05）、愈合时间（<0.05）差异有统计学意义。对于不稳定型股骨转子下骨折的成功手术治疗，解剖复位至关重要。复位和钢丝环扎可给予内侧支撑，有利于解剖复位，对骨折愈合有积极作用。
