| 李群 吴守群 陈优民 周建宏 吴富华 丁祖运 付明辉 曾四宝 成昌桂.近端防旋髓内钉与近端锁定钢板治疗老年股骨转子间不稳定骨折的疗效对比分析[J].,2016,16(21):4131-4133 |
| 近端防旋髓内钉与近端锁定钢板治疗老年股骨转子间不稳定骨折的疗效对比分析 |
| Elderly Unstable Intertrochanteric Fracture：Comparison of Effect betweenProximal Femoral Nail Anti-rotation and Proximal Femoral Locking Plate |
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| DOI： |
| 中文关键词: 髓内 老年 骨折固定术 不稳定 股骨转子间 骨折 |
| 英文关键词: Intramedullary Elderly Fracture fixation Unstable Intertrochanteric Fracture |
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| 中文摘要: |
| 目的：分析对比股骨近端防旋髓内钉（PFNA）与股骨近端锁定钢板（PFLP）治疗老年股骨转子间不稳定骨折的临床疗效。方
法：回顾性分析我院骨外科2009 年4 月至2013 年4 月收治的老年股骨转子间不稳定骨折患者90 例，根据患者手术方式的不
同，将其分为PFNA 组及PFLP组，各45 例。对比分析两组患者术中出血量、手术持续时间及骨折愈合时间术后髋关节功能及内
固定并发症情况。结果：PFNA组髋关节功能Harris评分优良率91.11%明显高于PFLP 组的71.11%（P<0.05）；PFNA组比PFLP组
骨折愈合时间短、内固定并发症少，比较差异有统计学意义（P<0.05）。结论：应用PFNA 治疗老年股骨转子间不稳定骨折患者具有
骨折愈合时间短、髋关节功能恢复好、术后内固定并发症少的特点，治疗效果较PFLP 更满意。 |
| 英文摘要: |
| Objective:To compare and analyze the clinical effect of proximal femoral nail anti-rotation (PFNA) and proximal
femoral locking plate (PFLP) in the treatment of elderly unstable intertrochanteric fracture.Methods:A total of 90 elderly patients with
unstable intertrochanteric fracture, who were admitted to Lishui branch of Zhongda Hospital Affiliated to Southeast University from April
2009 to April 2013, were divided into PFNA group(n=45) and PFLP group (n=45) according to the corresponding operation method. The
intraoperative blood loss, operation time and fracture healing time, postoperative hip joint function status and internal fixation complications
of the two groups were compared and analyzed.Results:Excellent and good rate (91.11%) of Harris score for hip joint function in
PFNA group was higher than that (71.11%) in PFLP group (P<0.05). Compared with PFLP group, the fracture healing time was shorter
and postoperative internal fixation complicationswas less in PFNAgroup, the differenceswere statisticallysignificant (P<0.05).Conclusion:Using PFNA to treat the elderly patients with unstable intertrochanteric fracture has the advantages of shorter fracture healing time, better
recovery of hip joint function, less postoperative internal fixation complications, which has a better effect compared with PFLP. |
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