摘要
目的比较股骨近端防旋髓内钉(PFNA)与动力髋螺钉(DHS)内固定治疗老年外侧壁不完整股骨转子间骨折的疗效。方法将60例外侧壁不完整股骨转子间骨折患者随机分为对照组和观察组,每组30例,对照组采用DHS治疗,观察组采用PFNA治疗。比较两组手术时间、术中出血量、术后下床活动时间、骨折愈合时间,采用Harris评分评定两组的疗效。结果手术时间、术中出血量、术后下床活动时间、骨折愈合时间观察组均少于对照组(P<0.05)。患者均随访1年。术后4、12个月,Harris评分观察组均优于对照组(P<0.05)。结论相较于DHS,PFNA治疗老年外侧壁不完整股骨转子间骨折效果更好,更利于患者的恢复。
Objective To compare the curative effect of proximal femoral nail antirotation(PFNA)and dynamic hip screw(DHS)internal fixation in the treatment of elderly lateral wall incomplete intertrochanteric fracture.Methods Sixty patients with lateral wall incomplete intertrochanteric fractures were randomly divided into control group and observation group,with 30 cases in each group.The control group was treated with DHS,while the observation group was treated with PFNA.The operative time,intraoperative blood loss volume,postoperative time of getting out of bed and fracture healing time were compared between the two groups.Harris score was used to evaluate the efficacy of the two groups.Results The observation group were better than the control group in operation time,intraoperative blood loss volume,postoperative activity time and fracture healing time(P<0.05).All patients were followed up for 1 year.At 4,12 months postoperation,the Harris scores of observation group were both better than those in the control group(P<0.05).Conclusions Compared with DHS,PFNA has better effect in the treatment of elderly patients with incomplete lateral wall intertrochanteric fractures,and is more conducive to the recovery of patients.
作者
杨兵
冼昌艳
郭开今
陈向阳
YANG Bing;XIAN Chang-yan;GUO Kai-jin;CHEN Xiang-yang(Dept of Orthopaedics,the Affiliated Hospital of Xuzhou Medical University, Xuzhou,Jiangsu 221000, China)
出处
《临床骨科杂志》
2019年第6期731-734,共4页
Journal of Clinical Orthopaedics
关键词
股骨转子间骨折
股骨近端防旋髓内钉内固定
动力髋螺钉内固定
老年人
intertrochanteric fracture of femur
femoral proximal antirotation nail internal fixation
dynamic hip screw internal fixation
aged
