中国组织工程研究与临床康复2011，Vol.15Issue(39)：7323-7326,4.DOI:10.3969/j.issn.1673-8225.2011.39.026
三种不同金属植入物内固定治疗老年股骨转子间骨折99例的随机对照
Comparative efficacy of elderly intertrochanteric fractures treated by three different internal fixations in 99 cases
王春辉 1吴兵 1何方生 1王自刚1
作者信息
- 1. 石河子市人民医院骨一科,新疆维吾尔自治区石河子市,832000
- 折叠
摘要
Abstract
BACKGROUND: Treatments for intertrochanteric fractures have three methods: dynamic hip screw (DHS). Gamma nail and proximal femoral nail anti-rotation(PFNA). Which one is moresafe, effective, and reliable is still controversial. OBJECTIVE: To explore the clinical efficacy of three different internal frxation methods on elderly intertrochanteric fractures. METHODS: According to the different surgical methods. 90 elder ly patients with intertro chanteric fractures were divided into PFNA group, Gamma nailgroup and the DHS group. A comparison among the three groups in operative time, blood loss, hospital stay, fractures healing and surgical complications was performed.RESULT SAND CONCLUSION: Totally 90 patients were followed for 12-26 months. The total efficiency of the PFNA group was higher than that of the DHS group and the Gamma nail group, but no significant difference existed (P> 005). In the PFNA group, the operation time, blood loss and hospital stay w ere significantly shorter than those in the DHS group and the Gamma nail group (P < 0.05). Although in the PFNA group the callus formed earlier and fracture healing time were shorter than those in the DHS group and the Gamma nail group, there was no significant difference (P >0.05). The incidence of postoperative complications during the follow-up was lower in the PFNA group than the DHS group and the Gamma nailgroup(P< 0.05). PFNA method compromises less vascular support and osseous, and provides more stable fixation, which is a reasonable surgical method for interior chanteric fractures.关键词
股骨转子间骨折/动力髋螺钉/Gamma钉/股骨近端带锁髓内钉/金属植入物分类
基础医学引用本文复制引用
王春辉,吴兵,何方生,王自刚..三种不同金属植入物内固定治疗老年股骨转子间骨折99例的随机对照[J].中国组织工程研究与临床康复,2011,15(39):7323-7326,4.
