江汉大学学报（自然科学版）Issue(5)：445-450,6.DOI:10.16389/j.cnki.cn42-1737/n.2015.05.013
三种内固定方法治疗老年股骨粗隆间骨折的效果比较
Evaluation of Curative Effect of Three Kinds of Internal Fixation Methods on Treatment of Femoral Intertrochanteric Fractures
童杰 1王金华 1任国海1
作者信息
- 1. 江汉大学 附属医院骨外科，湖北 武汉 430015
- 折叠
摘要
Abstract
objective To investigate the therapeutic effect of proximal femoral nail anti-rotation(PFNA)、Dynamic hip screw(DHS)and Locking compression plate(LCP)for treatment of intertrochanteric fracture in the elderly. Methods 122 patients included in the study with intertrochanteric fracture were treated of fracture fixation operation ,43 cases with PFNA fixation ,32 cases with DHS fixation and 47 cases with LCP fixation. The operation time ,intraoperative bleeding and postoperative complications ,postoperative hip joint function were recorded through follow-up and clinical records statistics. Results PFNAgroup had less operative time and intraoperative blood loss compared with the other two groups(DHS、LCP), There were no significant differences on the healing time and hip function score in those groups. There were no complications in all the 122 patients. Conclusion PFNA has the characteristics of reasonable design and reliable fixation strength. It is the appropriate method of the treatment for femoral of intertrochanteric fracture ,especially for those elderly with unstableosteoporosis intertrochanteric fractures for its advantages of less bleeding and minimally invasiveness.关键词
老年股骨粗隆间骨折/骨质疏松/骨折内固定术/PFNA/DHS/LCPKey words
elderly femoral intertrochanteric fracture/osteoporosis/internal fixation of fracture/PFNA/DHS/LCP分类
医药卫生引用本文复制引用
童杰,王金华,任国海..三种内固定方法治疗老年股骨粗隆间骨折的效果比较[J].江汉大学学报（自然科学版）,2015,(5):445-450,6.
