解放军医学院学报2018，Vol.39Issue(2)：95-97,101,4.DOI:10.3969/j.issn.2095-5227.2018.02.002
股骨近端防旋髓内钉与股骨近端髓内钉治疗老年患者股骨转子间骨折的疗效比较
Proximal femoral nail antirotation versus proximal femoral nail InterTan(R) in treatment of femoral intertrochanteric fractures in elderly patients
摘要
Abstract
Objective To compare the effect of proximal femoral nail antirotation (PFNA) versus proximal femoral nail InterTan(R) in the treatment of intertrochanteric fractures in elderly patients. Methods A total of 123 patients with femoral intertrochanteric fractures were selected from March 2014 to March 2017 in the First People's Hospital of Chengdu, and were divided into group PFNA (n=61) and group InterTan (n=62) by nailing system used in surgery. The operating time, intraoperative blood loss, hip hospital for special surgery (HSS) score before surgery and at one week and six months after surgery were observed. Results There was no significant difference in baseline data between two groups. The operating time [(48.3±10.2) min vs (84.2±15.6) min], intraoperative blood loss [(108.4±12.7) ml vs (175.3±27.2) ml] and the HSS score [(62.4±4.5) vs (68.8±6.7)] at one week after operation in group PFNA were significantly lower than those in group InterTan (all P ＜ 0.05). However, there was no significant difference in HSS score at six months after operation between two groups (P ＞ 0.05). Conclusion PFNA is an optimal choice for elderly patients with intertrochanteric fractures if patients haven't severe osteoporosis and obvious risk of nail cutting.关键词
骨折/老年人/内固定术/股骨近端防旋髓内钉Key words
fractures/aged/internal fixation/proximal femoral nail antirotation分类
医药卫生引用本文复制引用
杨立明,万君,谢欣蓉,曾建伟,刘程俊,胡江海,程丽佳..股骨近端防旋髓内钉与股骨近端髓内钉治疗老年患者股骨转子间骨折的疗效比较[J].解放军医学院学报,2018,39(2):95-97,101,4.基金项目
国家自然科学基金项目(51402027) （51402027）
国家级大学生创新创业训练计划项目(201711079010 （）
201711079044) （）
Supported by the National Natural Science Fund (51402027) （51402027）
National Undergraduate Innovative Training Program (201711079010 （）
201711079044) （）
