检验医学与临床2017，Vol.14Issue(24)：3607-3609,3.DOI:10.3969/j.issn.1672-9455.2017.24.015
抗旋髓内钉与股骨加长型第3代Gamma钉治疗老年股骨转子间骨折疗效比较
The comparison of curative effects of proximal femoral nail anti-rotation and prolonged third generation of Gamma nail fixation methods in the treatment of intertrochanteric fractures in the elderly
摘要
Abstract
Objective To compare the curative effect of two kinds of fixation methods of prolonged third generation of Gamma nail (PTGN) and proximal femoral nail anti-rotation (PFNA) in the treatment of intertrochanteric fractures in the elderly .Methods A total of 78 elderly patients with intertrochanteric fractures were selected from March 2015 to April 2016 .They were divided in-to PTGN group(41 cases) and PFNA group(37 cases) according to the fixation method .The operative time ,intraoperative blood loss ,postoperative weight loading time ,fracture healing time ,hip function and postoperative complication rate were compared be-tween the two groups .Results There were no statistically significant differences on the time of operation ,the time of postoperative weight loading time and the fracture healing time between PFNA and PTGN group (P>0 .05) ,but the intraoperative blood loss of PFNA group was lower than that of PTGN group ,and the difference is statistically significant (P<0 .05) .The excellent rate of hip joint function in PFNA group was significantly higher than that in PTGN group (P<0 .05) .However ,there was no statistically sig-nificant difference in the incidence rate of adverse reactions between the two groups (P>0 .05) .Conclusion The clinical efficacy of PFNA fixation treatment for femoral intertrochanteric fractures in the elderly is better than that of PTGN ,which shows less intrao-perative blood loss ,and a excellent rate of hip joint function .关键词
抗旋髓内钉/股骨加长型第3代Gamma钉/股骨转子间骨折/临床疗效Key words
proximal femoral nail anti-rotation/prolonged third generation of Gamma nail/femoral intertrochanteric frac-ture/clinical efficacy引用本文复制引用
傅捷,黄磊..抗旋髓内钉与股骨加长型第3代Gamma钉治疗老年股骨转子间骨折疗效比较[J].检验医学与临床,2017,14(24):3607-3609,3.
