Application of a special proximal femoral static lifting device in closed reduction and intramedullary nail surgery for the elderly with femoral intertrochanteric fractures

doi:10.13418/j.issn.1001-165x.2026.4.14

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Chinese Journal of Clinical Anatomy ›› 2026, Vol. 44 ›› Issue (4) : 463-468. DOI: 10.13418/j.issn.1001-165x.2026.4.14

Application of a special proximal femoral static lifting device in closed reduction and intramedullary nail surgery for the elderly with femoral intertrochanteric fractures

Sun Xiaowei, Yang Zhaoping, Qiu Haibo, Xiao Hongqiang, Peng Lei*

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Abstract

Objective To explore the application value of a special proximal femoral static lifting device in closed reduction and intramedullary nail surgery for the elderly with femoral intertrochanteric fractures. Methods A retrospective analysis was performed on the case data of 157 elderly patients with femoral intertrochanteric fractures who underwent closed reduction and intramedullary nail fixation in the hospital between January 2024 and December 2025. According to intraoperative use of the special proximal femoral static lifting device, patients were divided into a control group (78 cases, January-December 2024) and a study group (79 cases, January-December 2025). The perioperative indexes (intraoperative blood loss, intraoperative prying rate, operation time, postoperative stability), fracture reduction (good reduction rate, positive support rate), postoperative rehabilitation (pain, the first leaving bed time, hip function) and complications were compared between the two groups. Results The intraoperative blood loss, intraoperative prying rate and operation time in the study group were lower than those in the control group, and score of postoperative stability was higher than that in control group (P<0.05). The good reduction rate and positive support rate in the study group were higher than those in the control group (P<0.05). VAS score at 1d after surgery and the first leaving bed time in the study group were lower than those in the control group, and Harris score at 1 month after surgery was higher than that in the control group (P<0.05). There was no significant difference in the incidence of postoperative complications between the two groups (P>0.05). Conclusions The application of a special proximal femoral static lifting device in closed reduction and intramedullary nail surgery for the elderly with femoral intertrochanteric fractures can optimize perioperative indexes and promote fracture reduction, which is beneficial to improve early postoperative rehabilitation status.

Key words

Femoral intertrochanteric fracture / / / Elderly patient / / / Closed reduction and intramedullary nail fixation / / / Static lifting / / / Fracture reduction

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Sun Xiaowei, Yang Zhaoping, Qiu Haibo, Xiao Hongqiang, Peng Lei. Application of a special proximal femoral static lifting device in closed reduction and intramedullary nail surgery for the elderly with femoral intertrochanteric fractures[J]. Chinese Journal of Clinical Anatomy. 2026, 44(4): 463-468 https://doi.org/10.13418/j.issn.1001-165x.2026.4.14

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