中国医疗设备Issue(3)：94-97,4.DOI:10.3969/j.issn.1674-1633.2015.03.029
股骨近端抗旋髓内钉内固定治疗股骨转子下骨折的方法及疗效观察
Application and Effcacy Observation of PFNA in the Treatment of Intertrochanteric Fractures
关吉昆 1黄斌 1张新颖 1秦汉兴 1韦智1
作者信息
- 1. 桂林市人民医院骨科，广西桂林541002
- 折叠
摘要
Abstract
Objective To observe the efficacy of application of PFNA (Proximal Femoral Nail Antirotation) in treatment of intertrochanteric fractures. Methods Clinical data of 93 intertrochanteric fracture patients who had been treated in the hospital from June 2011 to June 2012 were retrospectively analyzed. Among all the patients, 40 cases were ifxated internally through EPFN (Expandable Proximal Femoral Nail), which was the EPFN group; 53 cases were fixated internally through PFNA, which was the PFNA group. Both the methods were evaluated and compared from the perspective of surgical efficacy, postoperative pain, the incidence of improper operation and clinical efficacy. Results The mean healing time, postoperative activity time, Harris hip scores between two groups had no statistically significant differences (P>0.05). The PFNA group demonstrated its superiority over EPFN group in the aspects of average operation time, blood loss, improper operation and thigh pain. The statistically signiifcant differences existed in the above indexes between the two groups (P<0.05). Conclusion PFNA proved its advantages in easy operation, convenience and proximity to the biomechanics of the proximal femur, which minimized the operation errors, reduced postoperative pain and was worthwhile to be promoted.关键词
股骨近端抗旋髓内钉/股骨转子下骨折/内固定治疗/临床疗效Key words
proximal femoral nail antirotation/intertrochanteric fractures/internal ifxation treatment/clinical effcacy分类
医药卫生引用本文复制引用
关吉昆,黄斌,张新颖,秦汉兴,韦智..股骨近端抗旋髓内钉内固定治疗股骨转子下骨折的方法及疗效观察[J].中国医疗设备,2015,(3):94-97,4.
