摘要
目的:探讨股骨近端防旋髓内钉(PFNA)内固定术治疗股骨粗隆间骨折患者的临床效果。方法:选取泗洪县分金亭医院2021年1月-2023年12月收治的60例股骨粗隆间骨折患者为研究对象,随机分为对照组及研究组,各30例。对照组行股骨近端锁定钢板内固定术,研究组行PFNA内固定术。比较两组患者的围手术期指标、髋关节功能及术后并发症发生情况。结果:研究组的手术时间、术后卧床时间、愈合时间均短于对照组,差异均有统计学意义(P<0.05)。治疗后,研究组的Harris髋关节功能评分量表中各项评分均高于对照组,差异均有统计学意义(P<0.05)。研究组的术后并发症发生率为3.33%,低于对照组的26.67%,差异有统计学意义(P<0.05)。结论:股骨粗隆间骨折患者接受PFNA内固定术的效果理想,能有效改善髋关节功能,促进骨折愈合,减少并发症,具有较高的应用价值。
Objective:To investigate the clinical effect of proximal femoral nail antirotation(PFNA)internal fixation in the treatment of patients with intertrochanteric fracture of femur.Methods:A total of 60 patients with intertrochanteric fracture of femur admitted to Sihong County Fenjinting Hospital from January 2021 to December 2023 were selected as the study objects,and were randomly divided into a control group and a study group,with 30 cases in each group.The control group underwent proximal femoral locking plate internal fixation,and the study group underwent PFNA internal fixation.The perioperative indexes,hip function and postoperative complications were compared between the two groups.Results:The operation time,postoperative bed time and healing time of the study group were shorter than those of the control group,the differences were statistically significant(P<0.05).After treatment,the scores of Harris hip scale in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of postoperative complications in the study group was 3.33%,lower than 26.67%in the control group,and the difference was statistically significant(P<0.05).Conclusion:Patients with intertrochanteric fracture of femur received PFNA internal fixation effect is ideal,can effectively improve hip function,promote fracture healing,reduce complications,has a high application value.
作者
王锦付
WANG Jinfu(Department of Orthopedics,Sihong County Fenjinting Hospital,Suqian 223900,China)
出处
《中国伤残医学》
2024年第18期26-28,36,共4页
Chinese Journal of Trauma and Disability Medicine
关键词
股骨粗隆间骨折
股骨近端防旋髓内钉内固定
髋关节功能
生活质量
Intertrochanteric fracture of femur
Proximal femoral nail antirotation internal fixation
Hip function
Quality of life
