双环钢丝捆扎技术联合关节置换对转子间骨折患者快速康复的临床观察

目的  探讨交叉双环钢丝捆扎技术联合关节置换术治疗高龄股骨转子间粉碎骨折的临床疗效。方法选取本院2013～2014年行人工关节置换结合钢丝捆扎治疗转子间骨折（Evans-Jensen分型：Ⅲ型、Ⅵ型）病例进行回顾性分析，其中15例采用双环钢丝捆扎加人工关节置换术，19例采用普通环形钢丝捆扎加人工关节置换术。两组分别比较住院时间、首次行走时间、术前术后记录每日睡眠时间、每日饮食量、精神状态、髋关节Harris评分、血红蛋白、白蛋白、电解质、是否有关节脱位、呼吸及泌尿系统炎症等疾病，并进行对比分析。结果  采用交叉双环钢丝捆扎组与采用普通钢丝捆扎组比较，前者术后下床时间、住院天数及术后首月髋关节Harris评分优于后者（P <0.05），两者血液指标出院前后无明显差异（P >0.05），但前者恢复速度较后者更快（P <0.05），两组术后第3个月、第6个月及1年髋关节Harris功能评分差异无统计学意义（P >0.05）。结论  交叉双环钢丝捆扎加人工关节置换术能促进患者术后快速康复，减少住院时间，提高患髋近期功能，在患者术后快速恢复方面有积极作用。

Comparision of clinical curative effect of two different wire binding technologies artificial joint replacement for elderly patients with intertrochanteric fractures

Objective To compare and analyze the clinical curative effect of two different wire binding technologies combined with artificial joint replacement for elderly patients with intertrochanteric fractures. Methods Retrospectively analyzed 34 cases of elderly patients with femoral Intertrochanteric fractures treated with different wire binding technologies combined with artificial joint replacement in our hospital from 2013 to 2014. A number of 15 cases used double loop wire binding technology combined with artificial joint replacement (group 1), and 19 cases used ordinary wire binding technology combined with artificial joint replacement (group 2). Indexes indicated the recovery situation of two groups were comparative analyzed. Results Compared with the group 1, the group 2 had significantly extended  postoperative first walking time, postoperative hospital stays, and the Harris scoring of patients after surgery 1 month (P < 0.05). But the two groups had no difference in the harrisscoring of patients after surgery 3 month, 6 month, and 1 year (P > 0.05). The blood test index of the two groups had no difference either (P > 0.05). Conclusions Compared with the group used ordinary wire binding technology combined with artificial joint replacement, the group used double loop wire binding technology combined with artificial joint replacement can promote a faster recovery process, and reduce postoperative hospital stay time, and improve the hip joint''s function in short term.