Development and application of hollow melleable surgical lead wire in the treatment of intertrochanteric fractures

doi:10.13418/j.issn.1001-165x.2019.05.017

Chinese Journal of Clinical Anatomy ›› 2019, Vol. 37 ›› Issue (5) : 568-572. DOI: 10.13418/j.issn.1001-165x.2019.05.017

ZHANG Yuan-hua, CHEN Wei-jian, WANG Xiao-fei, CHEN Zhi-gang, WU Deng-jiang

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Abstract

Objective　 To investigate the development and application values of hollow malleable lead wire in the treatment of intertrochanteric fractures. 　Methods　From August 2016 to May 2018, 84 patients with intertrochanteric fractures treated surgically in our hospital were enrolled and divided equally into a study group and a control group according to the method of random number table. In the control group, the fractured block was fixed with a traditional thread during surgery, while in the study group the fractured block was fixed by the self-made hollow malleable lead wire. The intraoperative and postoperative related indicators of the two groups were recorded and compared.　Results　There were no statistical difference in the length of surgical incisions, surgical duration, volume of intraoperative blood loss, times of X-ray exposure and volume postoperative drainage between the two groups (P>0.05). The postoperative hospitalization length was shorter, and the time for fracture union and total weight-bearing was earlier in the study group than in the control group( P＜0.05). Excellent and good rate of hip function 6 months after surgery was higher in the study group (97.6%) than in the control group (78.6%)(P<0.05). Incidences of complication including lower extremity venous thrombosis, pulmonary infection, hip varus, incision infection, and loosening of the fixation was 4.8% 6 months after surgery, lower than 6.2% in the observation group (P<0.05).　Conclusion　The development and application of hollow malleable surgical lead wire in the treatment of intertrochanteric fractures can promote the rehabilitation of patients, improve hip function and reduce postoperative complications.

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Hollow malleable fracture surgical lead;　Intertrochanteric fracture;　Hip function / Complications

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ZHANG Yuan-hua, CHEN Wei-jian, WANG Xiao-fei, CHEN Zhi-gang, WU Deng-jiang. Development and application of hollow melleable surgical lead wire in the treatment of intertrochanteric fractures[J]. Chinese Journal of Clinical Anatomy. 2019, 37(5): 568-572 https://doi.org/10.13418/j.issn.1001-165x.2019.05.017

References

[1] 李双, 张世民, 张立智, 等. 不同组合前内侧皮质支撑复位对股骨转子间骨折髓内钉术后稳定性影响的生物力学研究[J]. 中华创伤骨科杂志, 2019, 21(1): 57-64.
[2] Barrionuevo P, Kapoor E, Asi N, et al. Efficacy of pharmacological therapies for the prevention of fractures in postmenopausal women: a network meta-analysis[J]. J Clin Endocrinol Metab, 2019, 104(5): 1623-1630.
[3] Downey C, Kelly M, Quinlan JF. Changing trends in the mortality rate at 1-year post hip fracture - a systematic review[J]. World J Orthop, 2019, 10(3): 166-175.
[4] Jang WY, Jung JK, Lee DK, et al. Intraoperative hypotension is a risk factor for postoperative acute kidney injury after femoral neck fracture surgery: a retrospective study[J]. BMC Musculoskelet Disord, 2019, 20(1): 131.
[5] Kamo K, Kido H, Kido S. Comparison of the incidence of intra-operative fractures in hip hemi-arthroplasty performed in supine and lateral positions[J]. Hip Pelvis, 2019, 31(1): 33-39.
[6] Kim JT, Jeong HJ, Lee SJ, et al. Does proximally coated single-wedge cementless stem work well in dorr type C femurs? Minimum 10-year followup[J]. Indian J Orthop, 2019, 53(1): 94-101.
[7] Lee Y, Yoon BH, Lee S, et al. Risk of osteoporotic fractures after thyroid-stimulating hormone suppression therapy in patients with thyroid cancer[J]. J Bone Metab, 2019, 26(1): 45-50.
[8] 马一平, 武理国, 陈林, 等. 带孔钢针辅助引线经皮治疗新鲜闭合性跟腱断裂[J]. 浙江医学, 2015, 37(24): 2020-2022.
[9] 邹学敏, 郭洪. 新型引线器的研制与应用[J]. 护理研究, 2014, 28(8): 953.
[10] 陈贵彬, 翁阳华, 伊莉, 等. 股骨近端防旋髓内钉内固定治疗高龄股骨转子间骨折的疗效[J]. 临床骨科杂志, 2019, 22(1): 89-92.
[11] 路晓灵, 陈良. 亚洲型股骨近端防旋髓内钉治疗对股骨转子间骨折患者髋关节功能和凝血功能的影响[J]. 中国医药, 2019, 14(2): 287-290.
[12]Shaan ZH, Ahmad S, Jilani LZ, et al. Status of vitamin D and parathyroid hormone in patients scheduled to undergo orthopedic fracture management: a case-control study[J]. Indian J Orthop, 2019, 53(1): 183-189.
[13]Stravinskas M, Nilsson M, Vitkauskiene A, et al. Vancomycin elution from a biphasic ceramic bone substitute[J]. Bone Joint Res, 2019, 8(2): 49-54.
[14]Subramanyam KN, Mundargi AV, Reddy PS, et al. Pathological neck of femur fracture with failed osteosynthesis in adolescent: a report of two cases[J]. J Orthop Case Rep, 2018, 8(6): 88-91.
[15]王旭, 王晨, 张超, 等. 有限切开卵圆钳辅助引线微创技术治疗急性闭合性跟腱断裂[J]. 中华创伤骨科杂志, 2014, 16(10): 858-861.
[16]刘硕, 李仲影, 刘艳如, 等. 手术缝合针穿针引线器的研究及应用[J]. 医疗卫生装备, 2012, 33(6): 32,56.
[17] van Leur JPH, Jakma TSC, Willemsen SP, et al. Trochanteric fixation nail(R) with helical blade compared with femoral neck screw for operative treatment of intertrochanteric femoral fractures[J]. Hip Pelvis, 2019, 31(1): 48-56.
[18] Wright NC, Blackston JW, Saag KG. Changing rates in fracture trends are temporally associated with declining testing and treatment: reality or ecologic fallacy[J]. Curr Opin Rheumatol, 2019, 31(3): 316-320.
[19] 王露, 环炳龙, 张厚庆. 不使用牵引床股骨近端防旋髓内钉治疗股骨转子间骨折[J]. 临床骨科杂志, 2019, 22(1): 120-121.
[20] 聂飞, 李伟. 不同内固定方式治疗老年股骨转子间骨折患者效果研究[J]. 实用医院临床杂志, 2019, 16(1): 143-146.
[21] Abey-Nesbit R, Schluter PJ, Wilkinson T, et al. Risk factors for hip fracture in New Zealand older adults seeking home care services: a national population cross-sectional study[J]. BMC Geriatr, 2019, 19(1): 93.
[22] Madden KM, Feldman B, Meneilly GS. Blood pressure measurement and the prevalence of postprandial hypotension[J]. Clin Invest Med, 2019, 42(1): E39-E46.
[23] Messer-Hannemann P, Bätz J, Lampe F, et al. The influence of cavity preparation and press-fit cup implantation on restoring the hip rotation center[J]. Clin Biomech (Bristol, Avon), 2019, 63: 185-192.
[24] Park CH, Jung KJ, Nho JH, et al. Impact on bisphosphonate persistence and compliance: daily postprandial administration[J]. J Bone Metab, 2019, 26(1): 39-44.
[25] Raval P, Mayne AIW, Yeap PM, et al. Outcomes of magnetic resonance imaging detected occult neck of femur fractures: do they represent a less severe injury with improved outcomes[J]. Hip Pelvis, 2019, 31(1): 18-22.