摘要
目的比较抗旋型股骨近端髓内钉(PFNA)与动力髋螺钉(DHS)治疗股骨转子间骨折的疗效。方法将72例股骨转子间骨折患者按治疗方法分为两组,40例采用PFNA手术治疗,32例采用DHS手术治疗。比较两组手术及术后各项指标。结果患者均获得随访,时间12~18个月。切口长度、术中出血量、手术时间、下床活动时间、负重时间、去拐时间、骨折愈合时间PFNA组均优于DHS组,差异有统计学意义(P<0.05)。PFNA组术后12个月Harris评分优良率高于DHS组,差异有统计学意义(P<0.05)。PFNA组术后12个月骨折复位质量优良率高于DHS组,差异有统计学意义(P<0.05)。结论 PFNA具有创伤小、手术操作较简单、出血少、术后并发症少、骨折复位满意、恢复快等优点,尤其适用于骨质疏松老年股骨转子间骨折。
Objective To compare the efficacy of proximal femoral nail antirotation （ PFNA） and DHS in the treatment of intertrochanteric fractures.Methods The 72 patients with intertrochanteric fractures were divided into two groups according to the treatment methods , 40 cases were treated with PFNA ,32 cases were treated with DHS , the operation and postoperative indexes of the two groups were compared.Results Two groups both received postoperative follow-up of 12~18 months.The length of incision, intraoperative blood loss, operation time, normal activity time, weight bearing time , no crutches time , fracture healing time in PFNA group were all superior than those in DHS group, the differences were statistically significant （P〈0.05）.At 12 months postoperation, the excellent-good rate of Harris score in PFNA group was higher than that in DHS group , the difference was statistically significant （ P〈0.05 ）.The excellent-good rate of fracture reduction quality in PFNA group was higher than in DHS group , the difference was statistically significant （P〈0.05）.Conclusions PFNA has less trauma, the operation is simple, less bleeding, postoperative complications are few , satisfactory reduction of fracture , quick recovery and other advantages , the utility model is especially suitable for osteoporotic intertrochanteric fractures of the femur.
出处
《临床骨科杂志》
2017年第6期723-726,共4页
Journal of Clinical Orthopaedics
关键词
抗旋型股骨近端髓内钉
动力髋螺钉
股骨转子间骨折
proximal femoral nail anti-rotation
dynamic hip screw
intertrochanteric fractures
