有刺股骨近端钉系统治疗孤立性股骨粗隆间骨折:手术结果。

Benjamin W Hoyt, Sarah A Walsh, Scott M Tintle, Romney C Andersen
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引用次数: 0

摘要

股骨粗隆间骨折与高发病率/死亡率相关,因此需要限制麻醉时间、失血和额外创伤的策略,同时在骨质减少的骨骼中实现最大程度的固定。北美矫形设计公司Talon DistalFix股骨钉系统使用可展开的倒刺来最大限度地控制轴向和旋转,而无需远端联锁螺钉。本研究的目的是评估使用DistalFix股骨钉系统治疗孤立性股骨粗隆间骨折患者的围手术期特征和术后结果。在2019年1月至2020年7月期间,71例患者连续使用DistalFix系统接受了孤立性转子间骨折的髓内固定。中位手术时间为35(33 ~ 40)分钟。中位估计失血量为125 (75 - 150)cc,中位透视时间为2.4(2.2 - 2.9)分钟,剂量为27.1 (18.0 - 35.2)mGy。98%的患者愈合;无种植体拔出,81.1%恢复了以前的活动能力。DistalFix系统实现了高愈合率和功能恢复,同时限制了手术风险因素。[j] .外科骨科进展32(1):036- 040,2023。
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A Barbed Proximal Femoral Nailing System for Isolated Intertrochanteric Femur Fractures: Operative Outcomes.

Intertrochanteric femur fractures are associated with high morbidity/mortality, necessitating strategies to limit time under anesthesia, blood loss, and additional trauma while achieving maximal fixation in osteopenic bone. The Orthopedic Designs North America, Inc. Talon DistalFix Femoral Nail System uses deployable barbs to maximize axial and rotational control without distal interlock screws. The purpose of this study was to evaluate perioperative features and postoperative outcomes in patients treated with the DistalFix Femoral Nailing System for isolated intertrochanteric femur fractures. Seventy-one consecutive patients underwent intramedullary fixation for isolated intertrochanteric fractures with the DistalFix system between January 2019-July 2020. Median operative time was 35 (33 - 40) minutes. Median estimated blood loss was 125 (75 - 150) cc. Median fluoroscopy time was 2.4 (2.2 - 2.9) minutes and dosage was 27.1 (18.0 - 35.2) mGy. Union occurred in 98% of patients; none experienced implant cutout, and 81.1% returned to previous mobility. The DistalFix system achieves a high rate of union and return to function while limiting operative risk factors. (Journal of Surgical Orthopaedic Advances 32(1):036-040, 2023).

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