生物骨科材料与临床研究2018，Vol.15Issue(2)：32-35,4.DOI:10.3969/j.issn.1672-5972.2018.02.008
PFNA与锁定DHS内固定治疗老年骨质疏松性股骨粗隆间骨折的疗效对比分析
Comparison and analysis of the curative effects of PFNA and locking DHS internal fixation invasive in the treatment of intertrochanteric fractures
汪得利 1李志君 1郑玉鹏 1罗岳 1李存宽1
作者信息
- 1. 青海省海东市平安区中医医院,青海 海东,810600
- 折叠
摘要
Abstract
Objective To compare the curative effect of the PFNA and locking DHS in treatment ofintertrochantericfracture of femur (IFF).Methods Retrospective analysis the clinical data of 79 cases of elderly osteoporotic patients with femoral intertrochanteric fractures from Jan 2014 to Jun 2016,and divided the 79 cases into two groups according to internal fixation methods which is the locking DHS and the PFNA group.Afterwards,comparisons were made of traction reset time after anesthesia,operative time,the blood loss,volume of drainage after surgery,intraoperative and posto-perative complication and last Harris hip function score were recorded.Results Compared with locking DHS group,PFNA group had advantages in operation time,intraoperative blood loss,postoperative volume of drainage and hospit-alization time.All 79 patients were followed up with an average of 8.9 months (range,6 to 18 months).The average time of fracture healing is 4.5 months in PFNA group,and 5.7 months in locking DHS group.The excellent rate of PFNA group was 95.2％ for last Harris hip function scores,and 94.6％ in locking DHS group (P＜0.05).Conclusion PFNA internal fixation for femoral intertrochanteric fracture had good clinical efficacy.Compared with locking DHS,the bio-mechanical performance of PFNA was better,it is minimally invasive,good support,simplicity of operator for elderly osteoporotic patients,and it is safe.But there was no difference in hip function between the two groups.关键词
股骨粗隆间骨折/骨质疏松/股骨近端防旋髓内钉/锁定DHS/内固定Key words
Femoral intertrochanteric fracture/Osteoporotic/Proximal femoral nail-rotation/Locking DHS/Internal fixation分类
医药卫生引用本文复制引用
汪得利,李志君,郑玉鹏,罗岳,李存宽..PFNA与锁定DHS内固定治疗老年骨质疏松性股骨粗隆间骨折的疗效对比分析[J].生物骨科材料与临床研究,2018,15(2):32-35,4.
