组织工程与重建外科杂志2017，Vol.13Issue(6)：333-336,4.DOI:10.3969/j.issn.1673-0364.2017.06.009
动力髋螺钉(DHS)和空心螺钉内固定与PFNA内固定治疗老年股骨转子间骨折的比较
Comparison of Dynamic Hip Screw Plus Hollow Screw and PFNA Internal Fixation in the Treatment of Intertrochanteric Fractures in Elderly Patients
卞健 1史法见 1赵晓龙 1郑勇1
作者信息
- 1. 210048 江苏省南京市 南京江北人民医院骨科
- 折叠
摘要
Abstract
Objective To compare the clinical efficacy of DHS plus hollow screw and PFNA internal fixation in the treatment of intertrochanteric fractures in the elderly. Methods From June 2014 to September 2016, 80 elderly patients with intertrochanteric fractures admitted to our hospital were retrospectively analyzed. Among them, 40 cases were treated with DHS plus hollow screw (DHS group), while the other 40 cases were treated with PFNA internal fixation (PFNA group). The clinical data, operation conditions, hospitalization days, Harris score and postoperative complications in both groups were analyzed and compared. Results ①There was no significant difference between the two groups in terms of gender, age and fracture classification. ② The average incision length, operation time, intraoperative blood loss, post-operative drainage, weight-bearing time, fracture healing time of the cases in the PFNA group were significantly better than those of the cases in the DHS group;③There was no significant difference in the aspects of Harris score and postoperative complications between the two groups. Conclusion PFNA internal fixation is more suitable for elderly patients with intertrochanteric fractures, which is worthy of further promotion.关键词
动力髋螺钉/防旋股骨近端髓内钉/股骨转子间骨折Key words
Dynamic hip screw/Proximal femoral nail anti-rotation/Intertrochanteric fracture分类
医药卫生引用本文复制引用
卞健,史法见,赵晓龙,郑勇..动力髋螺钉(DHS)和空心螺钉内固定与PFNA内固定治疗老年股骨转子间骨折的比较[J].组织工程与重建外科杂志,2017,13(6):333-336,4.
