国际医药卫生导报2014，Vol.20Issue(12)：1716-1719,4.DOI:10.3760/cma.j.issn.1007-1245.2014.12.024
抗旋转型股骨近端髓内钉内固定与动力髋螺钉内固定治疗股骨转子间骨折的临床疗效对比观察
Internal fixations of proximal femoral nail antirotation versus that of dynamic hip screw for femoral intertrochanteric fracture
梁荣班 1赵佳 1卢珂恩 1谭宏昌1
作者信息
- 1. 524001湛江,广东医学院附属医院急诊科
- 折叠
摘要
Abstract
Objective To explore and study the clinical effects of the internal fixations of proximal femoral nail antirotation(PFNA) and dynamic hip screw(DHS) for femoral intertrochanteric fracture.Methods 100 patients with femoral intertrochanteric fracture admitted into our hospital from April,2009 to April,2013 were selected as study objects and randomly and equally divided into two groups.50 patients (PFNA group) were treated by the internal fixation of PFNA,and the other 50 patients (DHS group) by the internal fixation of DHS.They were followed up for 9-18 months.The curative effects of both groups were observed and compared.Results The volumes of intraoperative bleeding and of the postoperative drainage were smaller and the postoperative weight-loading walking time and healing time were shorter in the PFNA group than in the DHS group.The Harris hip function scores were increased in both groups after the treatment; the hip function scores,motion ranges,and synthetic scores were increased more but the hip joint score of deformity less in the PFNA group than in the DHS group.The incidence of postoperative complications of the PFNA group was 6.0％,which was significantly lower than that of the DHS group (26.0％),with a statistical difference (P＜0.05).Conclusions PFNA has better curative effects than DHS in the treatment of femoral intertrochanteric fracture and has greater comparative advantages in intraoperative bleeding volume,postoperative healing time,and weight-bearing walking time.Comparing with DHS treatment,PENA treatment causes fewer postoperative complications and recovers hip joint function better,so it can be the first treatment choice for patients with femoral intertrochanteric fracture.关键词
抗旋转型股骨近端髓内钉内固定/动力髋螺钉内固定/股骨转子间骨折/疗效Key words
Internal of fixation PFNA/Internal fixation of DHS/Femoral intertrochanteric fracture/Curative effect引用本文复制引用
梁荣班,赵佳,卢珂恩,谭宏昌..抗旋转型股骨近端髓内钉内固定与动力髋螺钉内固定治疗股骨转子间骨折的临床疗效对比观察[J].国际医药卫生导报,2014,20(12):1716-1719,4.
