中国医学前沿杂志（电子版）2017，Vol.9Issue(5)：102-105,4.DOI:10.12037/YXQY.2017.05-20
经皮加压钢板与防旋股骨近端髓内钉固定治疗老年股骨粗隆间骨折临床对比研究
Clinical analysis of PCCP and PFNA fixation in the treatment of intertrochanteric fracture of femur on the elderly
王安全 1李鹏 1鲍志祥 1周建生 2罗海莺3
作者信息
- 1. 安徽省妇幼保健院 骨科,合肥 230001
- 2. 蚌埠医学院第一附属医院 骨科,安徽 蚌埠 233000
- 3. 安徽省妇幼保健院 手术室,合肥 230001
- 折叠
摘要
Abstract
Objective To compare the clinical effects of percutaneous compression plate (PCCP) and proximal femoral nail anti-rotation (PFNA) in the treatment of intertrochanteric fracture of femur on the elderly. Method 82 elderly patients with intertrochanteric fracture of femur in Anhui Maternal and Child Health Care Hospital from August 2015 to August 2016 were selected as the research objects, according to the different treatment methods, they were divided into PCCP group and PFNA group, 41 cases in each group. The operation related indexes, fracture fusion time, complication rate and the recovery of hip function were compared between the two groups. Result There was no significant difference in the operation time between the two groups (P > 0.05). The X-ray exposure time and fracture fusion time in PFNA group were shorter than that in PCCP group (P < 0.05), andintraoperative blood loss was more than those in PCCP group (P < 0.05). Compared with before operation (T1), the Harris hip function scores of the two groups at 1 week after operation (T2), 2 months after operation (T3) and 6 months after operation (T4) were gradually increased (P < 0.05), and the scores of T3 and T4 time points in PFNA group were higher than those in PCCP group (P < 0.05). There was no significant difference in the incidence rate of complications between the two groups (P > 0.05). Conclusion PFNA and PCCP have the same effect in the treatment of intertrochanteric fracture of femur in elderly patients. The rate of recovery of PFNA is faster and the amount of bleeding of PCCP is less. Doctor should select the reasonable therapy according to the specific conditions of the patient.关键词
股骨粗隆间骨折/防旋股骨近端髓内钉/经皮加压钢板Key words
Intertrochanteric fracture of femur/Proximal femoral nail anti-rotation/Percutaneous com-pression plate引用本文复制引用
王安全,李鹏,鲍志祥,周建生,罗海莺..经皮加压钢板与防旋股骨近端髓内钉固定治疗老年股骨粗隆间骨折临床对比研究[J].中国医学前沿杂志（电子版）,2017,9(5):102-105,4.
