摘要
目的评价动力髋螺钉（DHS）、Gamma钉和防旋股骨近端髓内钉（PFNA）治疗老年不稳定股骨转子间骨折的临床疗效。方法对162例股骨转子间骨折患者分别采用DHS、Gamma钉及PFNA治疗。比较3种方式的手术时间、术中术后出血量、手术并发症及术后疗效。结果 162例均获随访,时间1~2年。手术时间及术中出血量3组比较差异有统计学意义（P〈0.05）。术后3 d引流量：PFNA组与DHS组比较差异有统计学意义（P〈0.05）。术后18个月内并发症总发生率比较DHS组最高（P〈0.05）;术后疗效比较3组差异无统计学意义（P〉0.05）。结论与DHS、Gamma钉比较,PFNA手术时间短、出血量少、术后并发症发生率低,在治疗老年不稳定股骨转子间骨折应用中占有优势。
Objective To evaluated the efficacy of dynamic hip screw（DHS）,Gamma nail and proximal femoral nail anti-rotation（PFNA）for senile intertrochanteric fracture（ITF）.Methods 162 patients with ITF were treated with DHS,Gamma nail and PFNA.The operative time,operation complications,bleeding volume and therapeutic efficacy were analyzed retrospectively among three groups.Results 162 cases were all followed up for 1~2 years.There were statistical difference in the mean operation time and intraoperative blood loss（P0.05）.The postoperative blood loss within 3 days of the PFNA group was less than that in the DHS group.The overall incidence of DHS group was highest than the other groups within 18 months（P0.05）;There were statistical difference in therapeutic effect（P0.05）.Conclusions Compared with DHS and Gamma nail,the PFNA could be a reasonable choice for unstable and aged intertrochanteric fracture because of less operative time and blood loss,lower postoperative complications and more stable fixation.
出处
《临床骨科杂志》
2011年第3期302-304,共3页
Journal of Clinical Orthopaedics
关键词
股骨转子间骨折
股骨近端髓内钉
动力髋螺钉
GAMMA钉
防旋股骨近端髓内钉
intertrochanteric fractures
proximal femoral intramedullary nail
dynamic hip screw
Gamma nail
proximal femoral nail anti-rotation
