通讯作者: 赵巍, 805816558@qq.com

DOI：10.12201/bmr.202501.00018

• 摘要：目的 探讨InterTan髓内钉联合术后臀肌结合平衡能力训练治疗老年股骨粗隆间骨折的临床疗效。方法：选取金华市中心医院2022年9月-2023年9月收治60例老年股骨粗隆间骨折患者随机分为两组，每组30例，对照组采用InterTan髓内钉手术及常规康复训练，观察组采用InterTan髓内钉手术及常规康复训练，以及臀肌结合平衡能力训练；比较两组髋关节功能评分，日常生活能力及并发症发生率。结果：术后各个时间点观察组Harris评分、ADL评分显著高于对照组，观察组术后并发症发生率显著低于对照组，差异有统计学意义（P＜0.05）。结论：InterTan髓内钉联合术后臀肌结合平衡能力训练治疗老年股骨粗隆间骨折具有良好的临床疗效。

  关键词： 老年股骨粗隆间骨折; InterTan髓内钉; 臀肌训练; 平衡能力训练

   

  Abstract: Objective: To evaluate the clinical effectiveness of InterTan intramedullary nailing, augmented with postoperative gluteus maximus-focused balance training, in managing elderly patients with intertrochanteric fractures of the femur.Methods: Sixty elderly patients with intertrochanteric fractures admitted to Jinhua Central Hospital from September 2022 to September 2023 were randomly divided into two groups, with 30 cases in each group. The control group received InterTan intramedullary nail surgery and conventional rehabilitation training, while the observation group received InterTan intramedullary nail surgery, conventional rehabilitation training, and gluteal muscle combined with balance ability training. The hip joint function scores, activities of daily living, and complication rates were compared between the two groups.Results: At each time point after the operation, the Harris score and ADL score of the observation group were significantly higher than those of the control group, and the incidence of postoperative complications in the observation group was significantly lower than that in the control group, with statistically significant differences (P < 0.05).Conclusion: The combination of InterTan intramedullary nailing and postoperative gluteus maximus-focused balance training demonstrates favorable clinical outcomes in the treatment of elderly patients with intertrochanteric fractures of the femur.

  Key words: ; ; ; 

  提交时间：2025-01-06

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• 序号	提交日期	编号	操作
  1	2024-12-09	10.12201/bmr.202501.00018V1	下载

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