Application of extended Gamma 3 intramedullary nail closed reduction in treatment of the subtrochanteric comminuted fracture
- VernacularTitle:应用加长Gamma 3髓内钉闭合复位治疗股骨粗隆下粉碎性骨折
- Author:
Keming CHEN
1
;
Xuelan CHEN
;
Zhiyong YU
;
Long BAI
;
Jun YE
;
Congwu HUANG
Author Information
1. 深圳市宝安区福永人民医院骨科
- Keywords:
Subtrochanteric comminuted fracture;
Extended Gamma 3 intramedullary nail;
Closed reduction
- From:
China Modern Doctor
2015;(3):62-64
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the application effect of extended Gamma 3 intramedullary nail close reduction in treatment of the subtrochanteric comminuted fracture. Methods A total of 80 cases of patients with subtrochanteric comminuted fracture treated in our hospital from January 2010 to December 2013 were selected as the research objects, and recieved closed reduction treatment, and they were randomly divided into the treatment group (n=46), which were given the treatment of extended Gamma 3 intramedullary nail, and the control group (n=34), which were given the treatment of dynamic hip screws. During the 12 months of postoperation follow up, the surgical results, fracture healing time, functional recovery and complications of the patients in two groups were compared. Results The operation time of two groups was (57.34±11.52) minutes vs (67.25±18.38) minutes, the amount of bleeding during operation was (145.78± 28.57) mL vs (264.55±25.26) mL, the time of hospitalization was (14.20±2.63) days vs (18.65±3.00) days and the time of fracture healing was (10.38 ±2.46) weeks vs (14.21 ±2.24)weeks. The differences were significant (P<0.05). In addi-tion, after one year of follow-up, the excellent rates of function recovery in two groups were 91.30%and 82.35%. There were no significant differences between them ( P>0 . 05 ) . The incidence of complications of the patients in the two groups were 2.17%and 17.65%. The differences were significant (P<0.05). Conclusion The subtrochanteric comminut-ed fracture is treated by closed reduction and application of extended Gamma 3 intramedullary nail, the functional re-covery of the patients is good and the complications are fewer. This method is worth the clinical promotion.
