doi:10．3969/j．issn．1008-0287．2023．03．028·临床论著·InterTan髓内钉治疗老年股骨转子间骨折的疗效付稳，张晓龙，张鹏举，张笑，张小刚，郭岩凤摘要:目的探讨InterTan髓内钉治疗老年股骨转子间骨折的疗效。方法采用InterTan髓内钉治疗86例老年股骨转子间骨折患者。记录骨折愈合情况及并发症发生情况，采用Baumgaertner改良标准评价骨折复位质量，采用髋关节功能Harris评分评价疗效。结果患者均获得随访，时间6～12(9.2±1.9)个月。术后无切口感染、下肢深静脉血栓形成等并发症发生，1例发生拉力螺钉切出。术后X线片显示骨折对位对线良好，内固定位置满意。除1例拉力螺钉切出导致骨折畸形愈合外，其余85例骨折均愈合良好。85例骨痂形成时间4～8(4.7±1.2)周，骨折愈合时间3～6(4.1±0.9)个月。末次随访时，采用Baumgaertner改良标准评价骨折复位质量:良好77例，可8例，差1例;采用髋关节功能Harris评分评价疗效:优28例，良51例，可6例，差1例，优良率为91.9%。结论InterTan髓内钉治疗老年股骨转子间骨折固定牢固，并发症少，有利于髋关节功能的恢复。关键词:股骨转子间骨折;InterTan髓内钉;老年人中图分类号:Ｒ683.42;Ｒ687.33文献标识码:A文章编号:1008－0287(2023)03－0396－04EffectoftheelderlyfemoralintertrochantericfracturestreatedwithInterTanintramedullarynailFUWen，ZHANGXiao-long，ZHANGPeng-ju，ZHANGXiao，ZHANGXiao-gang，GUOYan-feng(SectionⅠ，DeptofOrthopaedics，MiyunTeachingHospitalofCapitalMedicalUniversity，Bei-jing101500，China)Abstract:ObjectiveToinvestigatetheefficacyofInterTanintramedullarynailinthetreatmentofelderlyfemoralin-tertrochantericfracture．MethodsInterTanintramedullarynailwasusedtotreat86patientswithfemoralintertro-chantericfractures．Fracturehealingconditionandcomplicationswererecorded．Baumgaertnermodifiedcriteriawereusedtoevaluatethequalityoffracturereduction，andtheefficacywasevaluatedwithHarrisscoreofhipfunction．Ｒe-sultsAllpatientswerefollowedupfor6～12(9.2±1.9)months．Postoperativecomplicationssuchasincisionin-fectionanddeepvenousthrombosisoflowerextremitywerenotobserved．Lagscrewextractionoccurredin1case．Postoperativeradiographsshowedgoodalignmentandsatisfactoryinternalfixation．Exceptfor1caseoffracturemal-union...
