中国医学创新Issue(16)：4-6,7,4.DOI:10.3969/j.issn.1674-4985.2015.16.002
PFNA与股骨近端锁定钢板治疗不稳定股骨转子骨折的疗效分析
The Efficacy Analysis of Locking Proximal Femur Plates and PFNA Treated with Unstable Intertrochanteric Fractures
陈歌海 1郑建河 1黄济嘉 1江钦文1
作者信息
- 1. 广东省普宁市人民医院 广东 普宁 515300
- 折叠
摘要
Abstract
Objective:To explore the clinical efficacy of locking proximal femur plates and PFNA treated with unstable intertrochanteric fractures.Method:106 patients with unstable intertrochanteric fractures were randomly divided into the PFNA group and the locking proximal femur plates group(LPFP),each group contained 53 cases.The PFNA group were given the new system for the treatment of unstable intertrochanteric fractures and the LPFP group were treated with locking proximal femur plates.The surgery-related indicators,the Harris hip scores of 3months and 12 months after surgery and the complications were compared.Result:The mean operative time,postoperative bed braking time and fracture healing time of the PFNA group were significantly lower than that of the LPFP group(P<0.001).The efficacy and excellent rate in the PFNA group after 3 months and 12 months of followed-up were significantly higher than that in the LPFP group(P<0.05).Severe orthopedic complications such as the head and neck shortened,femoral neck cut,varus,plant failure and femoral shaft fractures didn’t appear in PFNA group.5 patients’ proximal femoral locking plate fractured and caused varus deformity.The difference in orthopedic complications of the two groups of patients were significantly different( X2=5.248,P=0.022).Conclusion:Compared with LPFP surgery, PFNA treatment has the advantages of shorter operative time,shorter postoperative bed short braking time,quick recovery after surgery,good recovery of hip function and fewer complications,so it is worth applications.关键词
PFNA/股骨近端锁定钢板/不稳定/股骨转子骨折/疗效Key words
PFNA/Locking proximal femur plates/Unstable/Intertrochanteric fracture/Efficacy引用本文复制引用
陈歌海,郑建河,黄济嘉,江钦文..PFNA与股骨近端锁定钢板治疗不稳定股骨转子骨折的疗效分析[J].中国医学创新,2015,(16):4-6,7,4.
