Objective: to explore the surgical fixation methods for intertrochanteric fracture of femur in the elderly, and analyze the effects of DHS and PFNA fixation methods. Methods: the data of fracture patients treated in o...Objective: to explore the surgical fixation methods for intertrochanteric fracture of femur in the elderly, and analyze the effects of DHS and PFNA fixation methods. Methods: the data of fracture patients treated in our hospital from February 2020 to May 2022 were counted, and 78 elderly patients with intertrochanteric fracture were selected and divided into groups according to fracture fixation methods. Group A (39 cases) were treated with PFNA fixation, while group B (39 cases) were treated with DHS fixation. The final effect of the two groups was observed, and the curative effect was evaluated by related surgical indexes, fracture healing degree and postoperative complications. Results: compared with Group B, the operation time of Group A was shorter, the blood loss was less, the patients standing time was shorter under the condition of weight bearing, the fracture healing time was obviously shortened, and the overall related operation indexes were better than those of Group B (P < 0.05). The proportion of patients with good fracture healing in Group A was higher than that in Group B (P < 0.05). The scores of hip function and walking ability of lower limbs in group A were higher than those in group B (P < 0.05). The incidence of postoperative complications such as infection, hip varus, lower extremity venous thrombosis, femoral head cutting or femoral neck shortening in Group A is less than that in Group B (P < 0.05). Conclusion: for the elderly intertrochanteric fracture fixation, PFNA internal fixation can shorten the operation time, reduce surgical trauma and stress stimulation, and reduce postoperative complications, which is beneficial to the recovery of hip joint function and early weight bearing, better fracture healing, and early improvement of walking ability. It is worthy of application.展开更多
文摘Objective: to explore the surgical fixation methods for intertrochanteric fracture of femur in the elderly, and analyze the effects of DHS and PFNA fixation methods. Methods: the data of fracture patients treated in our hospital from February 2020 to May 2022 were counted, and 78 elderly patients with intertrochanteric fracture were selected and divided into groups according to fracture fixation methods. Group A (39 cases) were treated with PFNA fixation, while group B (39 cases) were treated with DHS fixation. The final effect of the two groups was observed, and the curative effect was evaluated by related surgical indexes, fracture healing degree and postoperative complications. Results: compared with Group B, the operation time of Group A was shorter, the blood loss was less, the patients standing time was shorter under the condition of weight bearing, the fracture healing time was obviously shortened, and the overall related operation indexes were better than those of Group B (P < 0.05). The proportion of patients with good fracture healing in Group A was higher than that in Group B (P < 0.05). The scores of hip function and walking ability of lower limbs in group A were higher than those in group B (P < 0.05). The incidence of postoperative complications such as infection, hip varus, lower extremity venous thrombosis, femoral head cutting or femoral neck shortening in Group A is less than that in Group B (P < 0.05). Conclusion: for the elderly intertrochanteric fracture fixation, PFNA internal fixation can shorten the operation time, reduce surgical trauma and stress stimulation, and reduce postoperative complications, which is beneficial to the recovery of hip joint function and early weight bearing, better fracture healing, and early improvement of walking ability. It is worthy of application.
