泸州医学院学报Issue(4)：423-426,4.DOI:10.3969/j.issn.1000-2669.2015.04.027
PFNA内固定与半髋置换治疗老年骨质疏松性股骨粗隆间不稳定型骨折的临床分析
Comparative analysis of the treatment of osteoporotic and unstable femoral intertrochanteric fracture with proximal femoral nail antirotation and hemiarthroplasty in elderly patients
摘要
Abstract
Objective To compare the effectiveness of two operative methods of proximal femoral nail antirotation(PFNA) and hemiarthroplasty(HA)in elderly patients with osteoporotic and unstable femoral intertroc-hanteric fractures. Methods: 53 cases of elderly patients with osteoporotic and unstable femoral intertrochanteric fractures treated with PFNA or HA from January 2009 to March 2013 were retrospectively analyzed. Operation duration, blood loss during operation, function of affected hip and complications were compared. Results The patients were followed-up after operation for 6 to 22 months. All fractures treated with PFNA healed. Operation duration: PFNA group(68 ± 18) mins, HA group(96 ± 29) mins; Blood loss during operation: PFNA group(104±42)mL,HA group (412±98)mL;Harris Hip ScorePFNA group 82.6±13.9,HA group 80.9±12.7;There were 4 patients with complications in both PFNA and HA groups. The results showed that PFNA group was less than HA group in operation duration and blood loss during operation (P < 0.05). In hip function outcome and incidence of complication,there were no significant differences between PFNA and HA groups (P>0.05).ConclusionFor elderly patients with osteoporotic and unstable femoral intertrochanteric fractures, PFNA was superior to hemiarthroplasty according to the operative statistics, but there were no significant differences in functional outcome.关键词
股骨粗隆间骨折/骨质疏松/防旋型股骨近端髓内钉/半髋置换Key words
Femoral intertrochanteric fracture/Osteoporosis/Proximal femoral nail antirotation/Hemiarthroplasty分类
医药卫生引用本文复制引用
解志波,周景,谢振宇,白龙,陈科明,陈亮清..PFNA内固定与半髋置换治疗老年骨质疏松性股骨粗隆间不稳定型骨折的临床分析[J].泸州医学院学报,2015,(4):423-426,4.基金项目
深圳市宝安区科技计划项目 （）
