摘要
【目的】探讨股骨近端髓内钉(PFN钉)内固定与骨水泥型双动头置换术治疗高龄股骨粗隆间骨折的临床疗效及适应症的选择。【方法】在62例75岁以上高龄股骨粗隆间骨折患者中,29例接受股骨近端髓内钉内固定术(髓内钉组),33例接受骨水泥型双动头置换术(半髋组),记录术中和术后与手术或内植物有关的并发症、失血量、手术时间、负重时间及住院时间,并在最后1次随访时进行Harris评分。【结果】半髋组在手术时间上显著少于髓内钉组(P<0.01);失血量显著多于髓内钉组(P<0.01);而在负重时间上半髋组明显早于髓内钉内固定组。两组术后平均Harris评分比较差异无显著性意义(P>0.05)。【结论】根据患者全身情况、骨质疏松程度及股骨粗隆间骨折分型,严格选择不同手术方法,常取得较好的临床疗效。
Objective To investigate the therapeutic effect of internal fixation with proximal femoral nail（PFN） and cemented bipolar hemiarthroplasty for elderly intertrochanteric fracture,and to explore their indications.Methods Sixty-two elderly intertrochanteric hip fracture aged over 75 years were enrolled into the study.Of them,29 patients received internal fixation with PFN（PFN group）,and 33 received cemented bipolar hemiarthroplasty（hemiarthroplasty group）.Operative and postoperative complications and bleeding volume,operation time,hospitalization time,and Harris score in the last follow-up were observed.Results Operation time was less,and bleeding volume was more in PFN group than those in hemiarthroplasty group（P〈0.01）.Patients in hemiarthroplasty group was earlier in weight loading than those in PFN group.The difference of postoperative Harris score was insignificant between PFN group and hemiarthroplasty group（P〉0.05）.Conclusion Selection of suitable operative technique based on the general healthy state of patients,the degree of osteoporosis and the classification of intertrochanteric fracture may result in satisfactory therapeutic effect.
出处
《广州中医药大学学报》
CAS
2011年第5期471-474,共4页
Journal of Guangzhou University of Traditional Chinese Medicine
关键词
高龄股骨粗隆间骨折
髓内钉固定
骨水泥双动头置换术
ELDERLY INTERTROCHANTERIC FRACTURE
INTERNAL FIXATION OF PROXIMAL FEMORAL NAIL
CEMENTED BIPOLAR HEMIARTHROPLASTY
