摘要
目的比较PFNA和DHS治疗老年性股骨粗隆间骨折疗效,探讨内固定选择在老年股骨粗隆间骨折治疗中的意义。方法 2004年2~至2009年2月随机分别采用动力髋螺钉﹙DHS﹚和防旋型股骨近端髓内钉﹙PFNA﹚2种内固定方法治疗58例老年股骨粗隆间骨折患者,PFNA固定28例,DHS固定30例,从手术用时、术中出血量、术中术后并发症发生率、骨折愈合时间、术后疗效等方面比较。结果 2组患者在平均手术用时、术中出血量、术中术后并发症发生率、骨折愈合时间等方面差异有统计学意义﹙〈0.05﹚,PFNA组优于DHS组;在术后疗效方面2组差异无明显统计学意义﹙〉0.05﹚。结论 PFNA较DHS设计更合理,操作微创,固定牢固,是治疗老年性股骨粗隆间骨折的理想方法之一。
Objective To explore the significance of optional internal fixations of senile femoral intertrochanteric fractures by comparing the effects of proximal femoral nail anti-rotation﹙PFNA﹚and dynamic hip screw﹙DHS﹚.Methods From Feb 2004to Feb 2009,58 cases with intertrochanteric fractures were divided into DHS﹙30 cases﹚ and ﹙28 cases﹚ groups.The data of each group were collected for statistical analysis on the following aspects：operative time,blood loss,intraoperative and post-operative complications,clinical healing of fracture and post-operative restored function.Result The difference of DHS and PFNA groups had more statistically significance﹙P0.05﹚ on the mean operation time、blood loss、 intraoperative and post-operative complications and clinical healing of fracture.PFNA group was much better than DHS group.The difference of DHS and PFNA groups had no statistically significance﹙P0.05﹚ on post-operative restored function.Conclusion PFNA was designed more reasonably than DHS,less invasive and more reliable.PFNA was one of satisfactively optional internal fixations.
出处
《生物骨科材料与临床研究》
CAS
2011年第6期40-42,45,共4页
Orthopaedic Biomechanics Materials and Clinical Study
关键词
股骨粗隆间骨折
内固定
老年人
Intertrochanteric Fracture
Internal Fixation
Elder
