基于髋关节功能评价抗旋髓内钉治疗老年股骨近端骨折

背景：股骨近端骨折的患者有78.9%都是年龄在65岁以上的老年人,常伴有心血管系统疾病、糖尿病或肺部疾病等,外科治疗风险大,而且存在骨质疏松现象,骨折后愈合较慢,因此在治疗上要求创伤性小,出血少,内固定牢固。目的：对抗旋髓内钉置入内固定治疗股骨近端骨折研究的文献资料趋势进行多层次探讨分析。方法：以电子检索方式对CNKI数据库学术期刊2008-01/2011-12收录有关抗旋髓内钉置入内固定治疗股骨近端骨折研究的文献进行分析,采用检索词为＂抗旋髓内钉;股骨近端;骨折;置入内固定＂,运用数据库的分析功能和Excel软件图表的功能分析数据特征。结果与结论：在CNKI数据库学术期刊2008/2011收录的文献中,共检索到35篇与抗旋髓内钉置入内固定治疗股骨近端骨折研究相关的文献。2011年收录的文献最多为23篇,文献数量处于上升的发展趋势。以外科学分类的文献数量最多。发表文献量较多的期刊为《临床骨科杂志》。文献关键词分析显示抗旋髓内钉主要用于治疗老年人股骨转子间骨折。抗旋髓内钉治疗老年股骨转子间骨折的关节功能评分优良率在80%以上,手术需要时间短,术后骨折愈合良好,恢复时间快,并发症少。抗旋髓内钉置入内固定是治疗老年股骨近端骨折较理想的方法。

Proximal femoral nail anti-rotation in the treatment of elderly proximal femoral fractures based on hip function

BACKGROUND： Almost 78.9% patients with proximal femoral fractures are aged over 65, and often accompanied by cardiovascular diseases, diabetes or lung disease. There is high risk of surgical treatment, and there is the phenomenon of osteoporosis and slow fracture healing, so a traumatic small, less bleeding and stable internal fixation method is required. OBJECTIVE： To multi-level explore and analyze the researches related to proximal femoral nail anti-rotation for the treatment of proximal femoral fractures. METHODS： A computer-based search was performed in CNKI database from January 2008 to December 2011 for the literatures related to proximal femoral nail anti-rotation for the treatment of proximal femoral fractures, the were ＂proximal femoral nail anti-rotation, proximal femoral, fractures, internal fixation＂, and the analysis capabilities of the database and Excel chart function were used to analyze the data characteristics. RESULTS AND CONCLUSION： A total of 35 literatures related to proximal femoral nail anti-rotation for the treatment of proximal femoral fractures were screened out from CNKI database from 2008 to 2011. In 2011, 23 literatures were obtained in the database, and the number of the literature was on an increasing trend. Most of the literatures were published by Journal of Clinical Orthopaedics. The key words analysis showed that the proximal femoral nail anti-rotation mainly used for the treatment of elderly intertrochanteric fracture. The excellent and good rate of hip function score was more than 80% after the elderly intertrochanteric fracture treated by proximal femoral nail anti-rotation, and the method has the advantages of short operation time, well postoperative healing, less complication and can recover within short time. Proximal femoral nail anti-rotation is an ideal method for the treatment of elder proximal femoral fractures.