摘要
目的探讨使用PFNA与股骨近端锁定钢板（LPFP）内固定治疗中青年股骨粗隆间及粗隆下不稳定性骨折的临床疗效并进行对比分析。方法：选取58例中青年股骨粗隆间及粗隆下粉碎性骨折的患者，并分为两组，其中32例行PFNA内固定（A组）、26例行股骨近端锁定钢板内固定（B组）治疗。结果：术后随访时间为0．5-4年，平均2年，A组患者的手术时间、出血量、植骨病例数、髋内翻畸形、内固定失效率均明显低于B组，差异有统计学意义（P〈0．05）。结论：PFNA不仅可以用于老年性股骨粗隆骨折有效固定，而且可以用于中青年股骨粗隆间及粗隆下粉碎性骨折的复位固定，具有手术时间短，术中出血少，植骨病例少，固定可靠，下地时间快，康复快等诸多优点。
ObjectiveTo explore and analysis the effect of PFNA and Locking Proximal Femur Plates（LPFP） treated with unstable intertrochanteric and subtrochantericfracture in young and middle-aged.Methods： 58 patients with unstable intertrochanteric and subtrochanterlc fractures were randomly divided the PFNA group and theLocking Proximal Femur Plates group ,32 patients were treated with PFNA （group A） and 26 patients were treated with Locking Proximal Femur Plates （group B）.Results：The 58 patients were followed up for 6--48 months, the average was 24 months.The operative time,blood loss,implant bone disease patients,hip varus deformity,internal fixation failure rate of the group A significantly lower than that of the group B,the difference was statistically significant（P〈0.05）.Conclusion：PFNA can not onlybe used for senile femoral trochanter fracture fixed effectively,and can be used for young and middle-aged intertrochanteric and tuberosity comminuted fracturereduction and fmatiotrmad has the advantage of shorter operation time,less intraoperative bleeding,implant bone disease cases of less,fixed and reliable,down timeearly ,fast recovery.
出处
《世界中医药》
CAS
2016年第B03期401-402,共2页
World Chinese Medicine
关键词
PFNA与股骨近端锁定钢板
中青年
股骨粗隆间及粗隆下不稳定性骨折
PFNA and Locking Proximal Femur Plates
young and middle-aged
Unstable intertrochanteric and subtrochanteric fracture.
