中国医药科学Issue(16)：174-176,185,4.
两种方法治疗老年不稳定性股骨转子间骨折的临床对照研究
Clinical controlled study on the treatment of senile unstable intertrochanteric fractures of femur with two methods
邵锋 1卢绪章1
作者信息
- 1. 新乡医学院第三附属医院，河南新乡 453003
- 折叠
摘要
Abstract
Objective To explore the clinical efficacy of PENA and PELAP in the treatment of senile unstable intertrochanteric fractures of femur and look for more effective therapy for the treatment of the disease mentioned above.Methods 98 elderly patients with unstable intertrochanteric fractures were chosen and randomly divided into PFNA group and PFLAP group according to number table, and there were 49 cases in each group. Patients in the PFNA group were treated with PFNA operation, and patients in the PFLAP group were treated with PFLAP operation. The intra-operative conditions (surgical incision size, amount of bleeding, operation time), the postoperative recovery condition (the time of weight loading, the healing time of fracture, hospital stays and Harris hip scores one year after operation) and the complications of patients in the two groups were observed.Results All patients were followed up for average 23.5 months. The surgical incision lengths of patients in the PFNA group were obviously shorter than that in the PFLAP group (P<0.05). The operation time, hospital stays and the time of weight loading after operation of patients in the PFNA group were significantly shorter than that in the PFLAP group (P<0.05). The intra-operative amount of bleeding in the PFNA group significantly decreased compared that in the PFLAP group(P<0.05). The healing time of fracture and Harris hip scores between the two groups had no significant difference (P>0.05). The complication rate of the PFNA group was obviously lower than that of the PFLAP group (P<0.05).Conclusion PENA has advantages of smaller incision, shorter operation time, less bleeding and less interference on the internal environment, which is especially suitable for elderly patients with poor tolerance for operation. At the same time, its stable fixation makes patients do functional exercise as early as possible and reduce complication. It is an effective method for the treatment of senile unstable intertrochanteric fractures.关键词
不稳定性股骨转子间骨折/防旋股骨近端髓内钉/股骨近端解剖型锁定钢板Key words
Unstable trochanteric fractures/Proximal femoral nailantirotation/Proximal femoral anatomic locking plate分类
医药卫生引用本文复制引用
邵锋,卢绪章..两种方法治疗老年不稳定性股骨转子间骨折的临床对照研究[J].中国医药科学,2015,(16):174-176,185,4.
