摘要
目的比较老年不稳定型转子间骨折采用动力髋螺钉和股骨近端髓内钉固定的手术疗效。方法62例不稳定型老年转子间骨折患者中,30例采用动力髋螺钉固定,32例采用股骨近端髓内钉固定,并对手术资料、术后并发症及髋关节功能进行临床随访分析。结果与DHS组相比,PFN组手术时间短,切口小,术中出血量及术后引流量少,骨折临床愈合时间短,且可早期下床负重而不增加术后并发症发生率。结论PFN技术创伤小、操作简单、固定牢靠、并发症少,是治疗老年不稳定型转子间骨折的理想方法之一。
Objective To compare DHS with PFN in the treatment of aged unstable intertrochanteric fractures. Methods 62 patients with intertrochanteric fracture were included. 30 cases were operated with DHS while 32 cases with PFN. Clinical assessments included operation details, complications and functional recovery of hip joint in the two groups at fellow-ups. Results PFN was implanted with a significantly smaller incision and shorter operative time and clinical healing time, fewer blood loss and drainage. The PFN group had an earlier weight-bearing without a higher rate of complication. Conclusion PFN is one of the ideal choices for the treatment of aged unstable intertrochanteric fractures.
出处
《实用骨科杂志》
2007年第3期136-138,共3页
Journal of Practical Orthopaedics
关键词
动力髋螺钉
股骨近端髓内钉
治疗
老年
转子间骨折
dynamic hip screw
proximal femur nail
treatment
aged
intertrochanteric fracture
