摘要
目的对比股骨转子间骨折患者采用股骨近端防旋髓内钉(PFNA)与锁定钢板内固定治疗的临床效果。方法60例股骨转子间骨折患者,采用随机数字表法分为观察组和对照组,各30例。观察组应用PFNA内固定治疗,对照组应用锁定钢板内固定治疗。比较两组患者围术期指标(手术切口长度、术中失血量、手术时间、术后负重活动时间以及骨折愈合时间)、术后不良事件发生率及手术前后Harris评分。结果观察组手术切口长度(8.06±1.62)cm、手术时间(52.62±5.53)min、术后负重活动时间(38.59±7.52)d以及骨折愈合时间(11.26±1.35)周均短于对照组的(15.15±6.35)cm、(75.16±7.95)min、(65.26±9.52)d、(14.35±1.62)周,术中失血量(123.62±38.19)ml少于对照组的(313.26±36.19)ml,差异有统计学意义(P<0.05)。观察组术后不良事件发生率为3.33%,显著低于对照组的20.00%,差异有统计学意义(P<0.05)。术前,两组Harris评分对比差异无统计学意义(P>0.05);术后3、6个月,观察组Harris评分分别为(67.95±4.35)、(88.69±4.53)分,均高于对照组的(57.19±2.96)、(82.62±3.15)分,差异有统计学意义(P<0.05)。结论应用PFNA内固定治疗股骨转子间骨折的疗效优于锁定钢板内固定治疗,其更有利于促进髋关节功能恢复、加快术后骨折愈合,且术后不良事件发生率更低,值得临床推广应用。
Objective To compare the clinical effect of proximal femoral nail anti-rotation(PFNA)and locking plate internal fixation in the treatment of intertrochanteric fracture of femur.Methods A total of 60 patients with intertrochanteric fracture of femur were randomly divided into the observation group and the control group,with 30 cases in each group.The observation group was treated with PFNA internal fixation,while the control group was treated with locking plate internal fixation.Both groups were compared in terms of perioperative indexes(incision length,intraoperative blood loss,operative time,postoperative weight-bearing time and fracture healing time),incidence of postoperative adverse events,and Harris scores before and after surgery.Results The observation group had incision length of(8.06±1.62)cm,operative time of(52.62±5.53)min,postoperative weight-bearing time of(38.59±7.52)d and fracture healing time of(11.26±1.35)weeks,which were all shorter than those of(15.15±6.35)cm,(75.16±7.95)min,(65.26±9.52)d and(14.35±1.62)weeks in the control group;the intraoperative blood loss of(123.62±38.19)ml in the observation group was less than that of(313.26±36.19)ml in the control group;the differences were statistically significant(P<0.05).The incidence of postoperative adverse events in the observation group was 3.33%,which was significantly lower than that of 20.00%in the control group,and the difference was statistically significant(P<0.05).Before surgery,there was no statistically significant difference in Harris score between the two groups(P>0.05).3 and 6 months after surgery,the Harris scores of the observation group were(67.95±4.35)and(88.69±4.53)points,which were higher than those of(57.19±2.96)and(82.62±3.15)points of the control group,and the differences were statistically significant(P<0.05).Conclusion PFNA internal fixation is better than locking plate internal fixation in the treatment of intertrochanteric fracture of the femur,the former is beneficial to promote the functional recovery of the
作者
向原野
XIANG Yuan-ye(Department of Orthopaedics,Ruiyang Orthopaedic Hospital,Guangshui 432700,China)
出处
《中国实用医药》
2023年第8期25-28,共4页
China Practical Medicine
关键词
股骨转子间骨折
股骨近端防旋髓内钉
锁定钢板
髋关节功能
Intertrochanteric fracture of femur
Proximal femoral nail anti-rotation
Locking plate
Hip joint function
