国际老年医学杂志2019，Vol.40Issue(5)：291-294,4.DOI:10.3969/j.issn.1674-7593.2019.05.010
股骨近端防旋髓内钉治疗老年股骨粗隆间骨折的临床疗效
Proximal Femoral Nails Antirotation in the Treatment of Femoral Intertrochanteric Fracture in Older Patients
摘要
Abstract
Objective To investigate the effects of proximal femoral nails antirotation (PFNA) in the treatment of intertro-chanteric fractures in older patients and the effects on the joint function. Methods 97 older patients with intertrochanteric fractures from February 2014 to September 2017 were enrolled. Among them, 50 patients receiving PFNA therapy were selected as PFNA group and 47 patients receiving dynamic hip screw therapy ( DHS) were selected as DHS group. The excellent rates in two groups were counted. The surgical indicators and joint function were recorded and measured. Results The excellent rate in PFNA group (94.00% ) was higher than that in DHS group (78.72% ) (P<0.05). The drainage volume and blood loss were significantly low-er, and the operation time was significantly shorter in PFNA group than those in DHS group (P<0.01). The score of hip function in PFNA group was higher than that in DHS group (P<0.05). Conclusion PFNA therapy is more reliable and effective in the treat-ment of intertrochanteric fractures in older patients. It can promote the improvement of joint function.关键词
股骨近端防旋髓内钉/股骨粗隆间骨折/动力髋螺钉/关节功能Key words
Proximal femoral nails antirotation/Intertrochanteric fractures/Dynamic hip screws/Joint function引用本文复制引用
秦顺利,赵志辉,吴明珑..股骨近端防旋髓内钉治疗老年股骨粗隆间骨折的临床疗效[J].国际老年医学杂志,2019,40(5):291-294,4.基金项目
湖北省卫生和计划生育委员会科研项目 (WJ2017M060) （WJ2017M060）
