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PFNA与Gamma钉治疗老年股骨转子间骨折的疗效比较

丁洪 何应英 陈彦

局解手术学杂志Issue(3):272-274,3.
局解手术学杂志Issue(3):272-274,3.DOI:10.11659/jjssx.1672-5042.201403020

PFNA与Gamma钉治疗老年股骨转子间骨折的疗效比较

Efficacy of PFNA and Gamma nail in treatment of intertrochanteric fractures in elderly

丁洪 1何应英 2陈彦1

作者信息

  • 1. 重庆市北部新区第一人民医院骨科,重庆411020
  • 2. 重庆市九龙坡区第二人民医院骨科,重庆400052
  • 折叠

摘要

Abstract

Objective to observe the efficacy and application value of PFNA and Gamma in the treatment of intertrochanteric fractures in elderly. Methods 100 patients with intertrochanteric fractures were divided into PFNA group and Gamma group, who received PFNA treatment and Gamma treatment respectively. And the operation status of patients at different ages,postoperative recovery,and complications were observed. Results The operation time,intraoperatve blood soss of PFNA group were lower than those of Gamma group(P<0. 05). There was no significant difference in fracture healing time. The Harris score of the over 75s in PFNA group was higher than that in Gamma group(P<0. 05),and the complications were less than Gamma group(P<0. 05). Conclusion PFNA was suitable for the patients at differ-ent ages with the advantages of more rigid fixation,good anti-rotation,fewer trauma and fewer complications.

关键词

股骨转子间骨折/老年/股骨近端防旋加锁髓内钉/Gamma钉/手术并发症

Key words

intertrochanteric fracture/elderly/proximal femoral nail anti-rotation/Gamma nail/surgical complication

分类

医药卫生

引用本文复制引用

丁洪,何应英,陈彦..PFNA与Gamma钉治疗老年股骨转子间骨折的疗效比较[J].局解手术学杂志,2014,(3):272-274,3.

局解手术学杂志

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1672-5042

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