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首页> 外文期刊>European Journal of Orthopaedic Surgery & Traumatology >Subtrochanteric femoral fractures: a comparative study of the long proximal femoral nail and the long trochanteric fixation nail
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Subtrochanteric femoral fractures: a comparative study of the long proximal femoral nail and the long trochanteric fixation nail

机译:股骨转子下骨折:股骨近端长钉和股骨转子间长钉的比较研究

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摘要

Subtrochanteric femoral fractures are expected to increase in the coming years. Despite the improvement of implants and surgical techniques, failures due to complications are still considerable. This article reports a retrospective review of patients who showed a subtrochanteric femoral fracture and who were treated consecutively with the Long Proximal Femoral Nail (LPFN) from January 2001 to August 2004, or with the Long Trochanteric Femoral Nail (LTFN) from January 2005 to January 2008. A total of 43 patients with 44 subtrochanteric femoral fractures were included in the study: 23 were treated with the LPFN and 21 with the LTFN. The number of complications related to the LPFN was eight (two re-interventions) against only one related to the LTFN (no re-interventions). haemoglobin decrease was on average higher in the group treated with the LPFN (35.5 g/L) than with the LTFN (30.4 g/L), and so was the number of patients needing for red blood cell concentrates transfusion (15 and 9, respectively). Mortality at the sixth-month follow up was higher in the group treated with the LTFN. The average surgery time was similar in both groups. The percentage of patients capable of walking within the first postoperative week was similar in both groups as well as time to discharge and the consolidation time. Both the LPFN and the LTFN are reliable implants for the treatment of subtrochanteric fractures of the femur. New features related to the LTFN might decrease the number of complications as well as the need for red blood cell concentrates transfusion.
机译:转子下股骨骨折预计在未来几年会增加。尽管植入物和手术技术得到了改善,但是由于并发症导致的失败仍然相当大。本文回顾性分析了股骨转子下骨折并于2001年1月至2004年8月连续使用股骨近端长钉(LPFN)或从2005年1月至2005年1月连续使用股骨转子粗隆钉(LTFN)的患者2008年。研究共纳入43例股骨转子下股骨骨折患者43例:LPFN治疗23例,LTFN治疗21例。与LPFN相关的并发症数量为8(两次重新干预),而与LTFN相关的并发症数量为1(无重新干预)。 LPFN(35.5 g / L)治疗组的血红蛋白下降平均高于LTFN(30.4 g / L)治疗的组,需要输注红细胞浓缩液的患者人数也分别较高(分别为15和9) )。 LTFN治疗组在第六个月随访时的死亡率较高。两组的平均手术时间相似。两组在术后第一周内能够行走的患者百分比以及出院时间和巩固时间相似。 LPFN和LTFN都是可靠的植入物,可用于治疗股骨转子下骨折。与LTFN相关的新功能可能会减少并发症的数量以及对红细胞浓缩液输血的需求。

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