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首页> 外文期刊>Cell biochemistry and biophysics >The Curative Effect Comparison Between Prolonged Third Generation of Gamma Nail and Prolonged Dynamic Hip Screw Internal Fixation in Treating Femoral Intertrochanteric Fracture and the Effect on Infection
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The Curative Effect Comparison Between Prolonged Third Generation of Gamma Nail and Prolonged Dynamic Hip Screw Internal Fixation in Treating Femoral Intertrochanteric Fracture and the Effect on Infection

机译：延长的第三代伽玛钉和延长的动力髋螺钉内固定治疗股骨转子间骨折的疗效比较及感染效果

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摘要

The objective was to explore the curative effect of prolonged third generation of gamma nail (pTGN) and prolonged dynamic hip screw (pDHS) internal fixation in treating femoral intertrochanteric fracture, and analyze the incidence rate of infection for better clinical diagnosis and treatment. Sixty five patients with femoral intertrochanteric fracture during February, 2011-February, 2013 were selected and divided into two groups, with one receiving pTGN (control group) and the other one receiving pDHS internal fixation (observation group). The clinical effects of two groups were compared. In control group, the excellent and good rate was 78.13 %, the total effective rate was 87.5 %, and the total complication rate was 6.24 %; in observation group, the excellent and good rate was 78.79 %, the total effective rate was 90.91 %, the total complication rate was 6.06 %; there was no statistical difference between two groups (p > 0.05). The operation time, the intraoperative fluoroscopy time, and the total blood loss had statistically significant difference between two groups (p < 0.05); however, the differences of the total length of incision, the length of preoperative hospitalization, postoperative ambulatory episode, and the length of stay between two groups were not statistically significant (p > 0.05). Both pTGN and pDHS internal fixation were effective on femoral intertrochanteric fracture, with pDHS internal fixation having better overall efficiency.
机译：目的探讨延长第三代伽玛钉（pTGN）和延长动力髋螺钉（pDHS）内固定治疗股骨转子间骨折的疗效，并分析感染发生率，以更好地进行临床诊断和治疗。选择2011年2月至2013年2月的65例股骨转子间骨折患者，分为两组，一组接受pTGN（对照组），另一组接受pDHS内固定（观察组）。比较两组的临床效果。对照组优良率为78.13％，总有效率为87.5％，总并发症率为6.24％。观察组优良率78.79％，总有效率为90.91％，总并发症率为6.06％。两组之间无统计学差异（p> 0.05）。两组的手术时间，术中透视时间和总失血量有统计学差异（p <0.05）;然而，两组的切口总长度，术前住院时间，术后门诊发作时间和住院时间的差异均无统计学意义（p> 0.05）。 pTGN和pDHS内固定对股骨粗隆间骨折均有效，而pDHS内固定具有更好的整体效率。

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