中国骨伤2017，Vol.30Issue(7)：607-611,5.DOI:10.3969/j.issn.1003-0034.2017.07.005
不同手术方法治疗高龄股骨粗隆间骨折的病例对照研究
Clinical analysis of LPFP,PFNA and BPH in treating femoral intertrochanteric fractures in elderly patients
摘要
Abstract
To evaluate the clinical results of locking proximal femur plate (LPFP),proximal femoral nail an-tirotation( PFNA) and bipolar hemiarthroplasty(BPH) in the treatment of femoral intertrochanteric fractures in elderly patients. Methods:Retrospective analysis of the 86 elderly patients with femoral intertrochanteric fractures during June 2011 and Au-gust 2016 were enrolled in this study. The patients were divided into 3 groups:26 cases in LPFP group included 10 males and 16 females with an average age of (72.54±4.78) years old,5 cases of type Ⅱof Evans,12 cases of type Ⅲ and 9 cases of type Ⅳ;39 cases in PFNA group included 17 males and 22 females with an average age of 74.41±5.65,11 cases of type Ⅱ,18 ca-ses of type Ⅲ and 10 cases of type Ⅳ;21 cases in BPH group included 9 males and 12 females with an average age of 76.23± 6.97,1 case of type Ⅱ,10 cases of type Ⅲ and 10 cases of type Ⅳ. The data of three groups were collected for statistical anal-ysis on the following aspects:operation time,intraoperative blood loss,the length of hospital stay,postoperative complications and Harris score of the hip joint function. Results:The wound healed well and no complication occurred. Eighty four cases were follow-up,while 2 cases were lost,the follow-up rate was 97.6%. The patients were followed up for 22 to 41 months with an average of 26.3 months. For comparison of operation time and time of the hospital stay,BPH group was shorter than the LPFP and PFNA group (F=19.782,21.981,P<0.05). For comparison of the intraoperative blood loss,the BPH group was less blood loss than the LPFP and PFNA group (F=12.976,P<0.05),while there was no significant means between the LPFP and PFNA group (t=10.879,P>0.05). For comparison of the postoperative complications,LPFP group was higher than BHP and PFNA group(F=30.976,P<0.05),while there was no significant means between LPFP and PFNA group(t=9.902,P>0.05). For com-parison of the Harris score of the hip joint at 1 year after operation,BPH and PFNA group were both higher than LPFP group (F=19.692,P<0.05),while there was no significant means between BPH and PFNA group (t=4.971,P>0.05). Con-clusion: For elder patient with femoral intertrochanteric fracture,BPH could be the best optional for the shorter operation time and less complications. And the PFNA also could be optional choice for the patients while the LPFP was forbidden for the elder patients.关键词
老年人/股骨骨折/骨折固定术,内/关节成形术,置换,髋Key words
Elderly/Femoral fractures/Fracture fixation/internal/Arthroplasty/replacement/hip引用本文复制引用
朱立军,李晓飞,刘超,吕成昱..不同手术方法治疗高龄股骨粗隆间骨折的病例对照研究[J].中国骨伤,2017,30(7):607-611,5.基金项目
国家自然科学基金资助项目(81601875)Supported by National Natural Science Foundation of China (81601875) （81601875）
