摘要
目的 对比亚洲型股骨近端防旋髓内钉(PFNA Ⅱ)与动力髋螺钉(DHS)在老年股骨转子间骨折中的应用价值。方法 回顾武警河北总队医院2016年12月-2020年11月骨外科收治的股骨转子间骨折老年患者127例,PFNA Ⅱ、DHS治疗的患者分别归为观察组(84例)和对照组(43例),记录手术时间、切口长度、术中出血量、骨折愈合时间和术后3个月Harris评分;观察术前术后3 d凝血功能指标和血栓弹力图参数;记录并发症。结果 与对照组比较,观察组手术时间更短,切口长度更短,术中出血量更少,骨折愈合时间更早,术后Hct、Hb、TT、APTT、PT更高,α角更低、R值更高(P<0.05)。观察组并发症发生率低于对照组(P<0.05)。结论 PFNA Ⅱ治疗老年股骨转子间骨折创伤更小,对凝血功能影响小,更利于康复。
Objective To compare the application value of Asian proximal femoral anti-rotation intramedullary nail(PFNA Ⅱ)and dynamic hip screw(DHS)in elderly intertrochanteric fractures.MethodsA review of 127 elderly patients with intertrochanteric fractures in orthopedic surgery at the author's hospital from December 2016 to November 2020.Patients treated with PFNA Ⅱ and DHS were classified into the observation group(84 cases)and the control group(43 cases),and the operations were recorded.Time,incision length,intraoperative blood loss,fracture healing time and Harris score 3 months afer surgery;observe the 3d blood coagulation function indexes and thromboelastogram parameters before and after surgery;record complications.Results Compared with the control group,the observation group had shorter operation time,shorter incision length,less intraoperative blood loss,and earlier fracture healing time;postoperative Hct,Hb,TT,APTT,and PT were higher than those of the control group;αangle Lower,higher R value(P<0.05).The incidence of complications in the observation group was lower than that in the control group(P>0.05).Conclusion PFNA I treats elderly femoral intertrochanteric fractures with less trauma,less impact on coagulation function,and is more conducive to rehabilitation.
作者
陈志刚
袁世发
保丽丽
Chen Zhigang;Yuan Shifa;Bao Lili(The Hebei Armed Police Corps Hospital,Shijiazhuang,Hebei 050081)
出处
《基层医学论坛》
2023年第10期24-27,共4页
The Medical Forum
关键词
老年股骨转子间骨折
内固定
亚洲型股骨近端防旋髓内钉
动力髋螺钉
凝血功能
创伤
Femoral intertrochanteric fracture
Internal fixation
Asian proximal femoral anti-rotation intramedullary nail
Dynamic hip screw
Coagulation function
Trauma
