The clinical efficacy of proximal femoral intramedullary nails in the treatment of intertrochanteric fractures of the femur in the elderly
股骨近端髓内钉治疗高龄股骨粗隆间骨折的临床疗效

摘要

目的 分析对股骨粗隆间骨折高龄患者实施股骨近端髓内钉治疗的疗效。方法 选用我院114例符合本研究标准的股骨粗隆间骨折患者，所有患者在2023年12月至2025年1月接受治疗，其中57例接受动力髋螺钉治疗（对照组），另57例为观察组实施股骨近端髓内钉治疗。观察两组疗效，记录不同疗法对患者手术指标和髋关节恢复的影响。结果 两组疗效比为（98.25%vs85.96%），观察组取得了更理想的疗效（P<0.05）。与对照组比较，观察组手术指标出现明显降低，差异显著（P<0.05）。治疗前，两组髋关节功能评分对比（P>0.05）；术后1-6个月观察组髋关节功能恢复大幅度提升，两组对比差异性明显（P<0.05）。结论 对股骨粗隆间骨折高龄患者而言，股骨近端髓内钉治疗取得了显著疗效，缩短了手术时间，促进了患者髋关节功能恢复，建议临床推广与使用。

Abstract

Objective To analyze the therapeutic effect of proximal femoral intramedullary nailing in elderly patients with intertrochanteric fractures of the femur.
Methods A total of 114 patients with intertrochanteric fractures of the femur who met the criteria of this study in our hospital were selected. All patients received treatment from December 2023 to January 2025. Among them, 57 cases received dynamic hip screw treatment (control group), and the other 57 cases were the observation group and received proximal femoral intramedullary nailing treatment. Observe the therapeutic effects of the two groups and record the influence of different therapies on the surgical indicators and hip joint recovery of the patients.
Results The therapeutic effect ratio of the two groups was (98.25%vs85.96%), and the observation group achieved a more ideal therapeutic effect (P<0.05). Compared with the control group, the surgical indicators of the observation group decreased significantly, and the difference was significant (P<0.05). Before treatment, the comparison of hip joint function scores between the two groups (P>0.05); From 1 to 6 months after the operation, the hip joint function of the observation group recovered significantly, and there was a significant difference between the two groups (P<0.05).
Conclusion   For elderly patients with intertrochanteric fractures of the femur, intramedullary nail treatment of the proximal femur has achieved remarkable therapeutic effects, shortened the operation time, and promoted the recovery of hip joint function in patients. It is recommended for clinical promotion and application.