摘要
Abstract
Objective To investigate the clinical effect of PFNA and PFN internal fixation in the treatment of elderly patients with femoral intertrochanteric fracture. Methods75 patients of intertrochanteric fractures in our hospital from 2013 February to 2014 June were selected and randomly divided into a PFN group (with 37 cases) and a PFNA group (with 38 cases). The clinical efficacy, the function of hip joint before and after the treatment by Harris score, operation time, amount of bleeding, the hospitalization time of the healing time of fracture, hospital stays (incident rate of complications) between the two groups were observed and compared.ResultsThe total excellent and good rate of PFNA group was 92.11%, which significantly higher than that in the PFN group (81.08%), the difference between the two groups was significant (P<0.05). After treatment, the Harris hip function scores of two groups were higher than before treatment (P<0.05); The difference of two groups was not significant, after the treatment (P>0.05). Operative time, amount of bleeding in PFNA group, fracture healing time, hospitalization time were significantly lower than that in PFN group, the difference was statistically significant (P<0.05). The complication rate of PFNA group was 5.26%, significantly lower than the PFN group (13.51%), the difference between the two groups was significant (P< 0.05). Conclusion The advantages of firm fixation, little trauma, less complication of PFN and PFNA in elderly osteoporotic intertrochanteric fracture treatment, but PFNA to shorten the operation time and reduce postoperative complications than PFN.关键词
PFNA/PFN内固定/老年股骨粗隆间骨折/临床疗效Key words
PFNA/PFN internal fixation/Intertrochanteric fracture/Clinical effect分类
医药卫生
