检验医学与临床2017，Vol.14Issue(5)：655-657,3.DOI:10.3969/j.issn.1672-9455.2017.05.021
股骨近端防旋髓内钉在股骨转子间骨折老年患者中的效果研究
Research on clinical effects of PFNA-Ⅱ in treating elderly patients with femoral intertrochanteric fracture
李健宇 1王喆 1何强 1俆麒1
作者信息
- 1. 四川省巴中市巴州区人民医院骨科 636000
- 折叠
摘要
Abstract
Objective To compare the clinical effects of PFNA-Ⅱ and traditional PFNA in the treatment of elderly patients with femoral intertrochanteric fracture .Methods The clinical data in 89 elderly patients with femoral intertrochanteric fracture in our hospital from February 2010 to January 2014 were retrospectively analyzed .The patients were divided into 2 groups according to the surgical modes ,including the PFNA-Ⅱgroup(48 cases) and PFNA group(41 cases) .The intraoperative conditions ,fracture heal-ing ,Harris score at 12-month follow up and the incidence of postoperative complications were recorded and compared between the two groups .Results The operative time and intraoperative fluoroscopy time in the PFNA-Ⅱgroup were shorter than those in the PFNA group ;intraoperative blood loss was significantly less than that in the PFNA group (P<0 .05);the partial weight bearing time ,full weight bearing time ,fracture healing time and Harris score excellent rate showed no statistically significant difference be-tween the two groups(P>0 .05);the incidence of thigh dull pain the PFNA-Ⅱ group was significantly lower than that in the PFNA group ,the difference was statistically significant (χ2 =14 .490 ,P<0 .05) .Conclusion PFNA-Ⅱ has less trauma ,simple operation , no difference in efficacy ,can effectively reduce the incidence of thigh dull pain compared with PFNA ,and is worth further study in clinical .关键词
股骨近端防旋髓内钉/股骨转子间骨折/老年患者/传统股骨近端防旋髓内钉Key words
proximal femoral nail/femoral intertrochanteric fracture/elderly patients/traditional PFNA引用本文复制引用
李健宇,王喆,何强,俆麒..股骨近端防旋髓内钉在股骨转子间骨折老年患者中的效果研究[J].检验医学与临床,2017,14(5):655-657,3.
