摘要
Abstract
Objective To compare the effect of proximal femoral nail antirotation ( PFNA) and dynamic hip screw ( DHS)+trochanter stablizing plate ( TSP) for the elderly femoral intertrochanteric fracture.Methods The instability of femur in the elderly 60 fracture patients undergoing primary surgery ,which were randomly divided into PFNA group and DHS+TSP group according to digital table ,and 30 cases were in each group.The surgical indexes and hip function of the two groups were compared.Results The operative time , intraoperative bleeding , hospitalization time , weight bearing time and turning to walk time of PFNA group were significantly less than the DHS +TSP group,the differences were statistically significant ( P＜0.01 );the patients were followed up for 12 months after operation.At postoperative 1 month,DHS+TSP group for Harris score and excellent-good rate were significantly lower than those in PFNA group, the differences were statistically significant (P＜0.01),and there were not statistically significant between two groups at 12 months postoperatian(P＞0.05).The complication incidence rate of the PFNA group was lower the DHS+TSP group,the difference was statistically significant (P＜0.01).Conclusions The operation time, blood loss, length of stay, weight bearing time and returning to walk time of PFNA group in the DHS +TSP group are decreased, compared with the PFNA group ,the early postoperative recovery of hip function in patients after operation is better.关键词
股骨近端防旋髓内钉/动态髋螺钉+转子稳定钢板/股骨转子间骨折/老年人Key words
PFNA/DHS+TSP/femoral intertrochanteric fracture/aged分类
医药卫生
