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JIA Chuan, YU Weizhong, WANG Yuchen, QIAN Zhipeng, HE Zhangning, ZHU Wenke. Proximal femoral bionic intramedullary nail versus InterTAN intramedullary nail in the treatment of intertrochanteric femoral fractures in elderly patients[J]. Journal of Clinical Medicine in Practice, 2023, 27(21): 88-91. DOI: 10.7619/jcmp.20232369
Citation: JIA Chuan, YU Weizhong, WANG Yuchen, QIAN Zhipeng, HE Zhangning, ZHU Wenke. Proximal femoral bionic intramedullary nail versus InterTAN intramedullary nail in the treatment of intertrochanteric femoral fractures in elderly patients[J]. Journal of Clinical Medicine in Practice, 2023, 27(21): 88-91. DOI: 10.7619/jcmp.20232369
shu

Proximal femoral bionic intramedullary nail versus InterTAN intramedullary nail in the treatment of intertrochanteric femoral fractures in elderly patients

  • Department of Orthopedics and Traumatology, Wujin Hospital of Traditional Chinese Medicine of Changzhou City in Jiangsu Province, Changzhou, Jiangsu, 213161

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  • Received Date: July 25, 2023
  • Revised Date: September 18, 2023
  • Available Online: November 23, 2023
    Graphical Abstract
    • Abstract
  • Objective 

    To compare the efficacy of proximal femoral bionic intramedullary nail (PFBN) and InterTAN intramedullary nail in the treatment of elderly intertrochanteric femoral fractures.

    Methods 

    The clinical data of 45 elderly patients with intertrochanteric fracture of femur were retrospectively analyzed. They were divided into PFBN group (25 cases) and InterTAN group(20 cases)according to the internal fixation methods. The operative time, intraoperative blood loss, intraoperative fluoroscopy times, length of hospital stay, excellent and good rate of Francisco score, fracture healing time, Harris score of hip function at 6 months postoperative follow-up, cervical trunk angle before and after surgery, and postoperative complications were recorded in the two groups.

    Results 

    Patients in both groups were effectively followed up for 6 to 18 months, with an average of (10.53±2.17) months. There were no significant differences in operation time, intraoperative blood loss, intraoperative fluoroscopy times and hospital stay between PFBN group and InterTAN group (P>0.05). There were no significant differences in Francisco score, Harris score (6 months) and postoperative cervical trunk angle between PFBN group and InterTAN group (P>0.05). The fracture healing time in the PFBN group was significantly shorter than that in InterTAN group, and the postoperative cervical trunk angle at 6 months was significantly greater than that in the InterTAN group(P < 0.05).

    Conclusion 

    Both PFBN and InterTAN intramedullary nail can achieve satisfactory clinical efficacy in the treatment of elderly intertrochanteric fractures of femur. However, compared with InterTAN intramedullary nail, PFBN has advantages in fracture healing time and prevention of hip various deformity, and is suitable for patients with minor trochanteric fractures, severe osteoporosis, and heavier body weight.

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    • References (17)
  • [1]
    黄叶建, 陶明高, 颜世显, 等. 股骨近端防旋髓内钉内固定治疗老年股骨粗隆间骨折的疗效[J]. 实用临床医药杂志, 2022, 26(4): 64-67. doi: 10.7619/jcmp.20214312
    [2]
    马翔宇, 刘兵, 元红, 等. 加速康复外科措施在髓内钉治疗老年股骨转子间骨折围手术期的临床应用效果[J]. 骨科临床与研究杂志, 2022, 7(1): 22-27. https://www.cnki.com.cn/Article/CJFDTOTAL-GKLC202201005.htm
    [3]
    张殿英. "杠杆-支点重建"理论重新认识股骨转子间骨折内固定的过去和未来[J]. 中华创伤骨科杂志, 2020, 22(10): 841-845. doi: 10.3760/cma.j.cn115530-20200707-00458
    [4]
    HUANG Y F, ZHANG C L, LUO Y A. Comparative biomechanical study of proximal femoral nail (InterTAN) and proximal femoral nail antirotation for intertrochanteric fractures[J]. Int Orthop, 2013, 37(12): 2465-2473. doi: 10.1007/s00264-013-2120-1
    [5]
    卢遥, 何金山, 周岳来, 等. 低分子量肝素钙对股骨近端防旋髓内钉治疗股骨粗隆间骨折隐性失血和深静脉血栓形成的影响[J]. 实用临床医药杂志, 2019, 23(5): 76-79. doi: 10.7619/jcmp.201905021
    [6]
    路露, 李晓筱, 刘晓宁, 等. 高龄(≥90岁)股骨粗隆间骨折InterTAN髓内钉内固定术后1年预后的影响因素分析[J]. 中国骨与关节损伤杂志, 2023, 38(6): 580-584. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS202306005.htm
    [7]
    王喆, 李盛龙, 汤欣, 等. InterTAN与PFNA-Ⅱ髓内固定系统在老年髋部骨折中的临床疗效分析[J]. 中华老年骨科与康复电子杂志, 2017, 3(4): 216-222. doi: 10.3877/cma.j.issn.2096-0263.2017.04.005
    [8]
    张飞, 马少华, 张浩, 等. InterTAN与PFNA内固定治疗老年股骨粗隆间骨折的比较[J]. 中国骨与关节损伤杂志, 2020, 35(2): 174-176. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS202002023.htm
    [9]
    朱燕宾, 陈伟, 叶丹丹, 等. 股骨近端Ward三角最新研究进展[J]. 中华老年骨科与康复电子杂志, 2021, 7(5): 257-259.
    [10]
    WANG Y H, CHEN W, ZHANG L J, et al. Finite element analysis of proximal femur bionic nail (PFBN) compared with proximal femoral nail antirotation and InterTAN in treatment of intertrochanteric fractures[J]. Orthop Surg, 2022, 14(9): 2245-2255.
    [11]
    李海建, 党鹏, 刘丁硕, 等. 股骨近端仿生髓内钉系统内固定治疗老年骨质疏松性股骨粗隆间骨折[J]. 中国骨与关节损伤杂志, 2023, 38(4): 391-393. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS202304014.htm
    [12]
    王晓伟, 郭永智, 征华勇, 等. 对Inter-TAN治疗老年股骨转子间骨折的失效原因分析[J]. 骨科临床与研究杂志, 2022, 7(6): 323-327, 333. https://www.cnki.com.cn/Article/CJFDTOTAL-GKLC202206001.htm
    [13]
    李祖涛, 殷剑, 肖伟, 等. 股骨近端仿生髓内钉与股骨近端防旋髓内钉固定治疗老年股骨转子间骨折的近期疗效比较[J]. 中华创伤骨科杂志, 2022(6): 528-532. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGUD202318013.htm
    [14]
    白云鹏, 沈燕国, 邱永敏, 等. 两种内固定治疗老年股骨转子间骨折的疗效[J]. 临床骨科, 2020, 23(5): 711-715. https://www.cnki.com.cn/Article/CJFDTOTAL-LCGK202005039.htm
    [15]
    王雨辰, 俞伟忠, 吴国明, 等. 两种股骨近端髓内钉固定股骨粗隆间骨折比较[J]. 中国矫形外科杂志, 2023, 31(4): 300-304. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJXS202304003.htm
    [16]
    HAO Y L, ZHANG Z S, ZHOU F, et al. Risk factors for implant failure in reverse oblique and transverse intertrochanteric fractures treated with proximal femoral nail antirotation (PFNA)[J]. J Orthop Surg Res, 2019, 14(1): 350.
    [17]
    张永强, 张朝, 吴勐, 等. 股骨近端外展截骨术治疗股骨颈或股骨粗隆间骨折后髋内翻畸形[J]. 中国骨与关节损伤杂志, 2020, 35(6): 600-601. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS202006014.htm
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