老年医学与保健2025，Vol.31Issue(4)：1196-1200,5.
防旋股骨近端髓内钉治疗老年股骨粗隆间骨折的术后康复效果及影响因素分析
Analysis of postoperative rehabilitation effects and its influencing factors of PFNA in treatment of femoral intertrochanteric fractures in the elderly
摘要
Abstract
Objective To explore the postoperative rehabilitation effects and its influencing factors of proximal femoral nail antirotation(PFNA)in the treatment of femoral intertrochanteric fractures in the elderly.Methods The clinical data of 207 elderly patients with femoral intertrochanteric fractures treated in People's Hospital of Guang'an City from February 2022 to February 2024 were retrospectively selected.According to the Harris score of the hip joint functional rehabilitation at 6 months after the operation,the patients were divided into poor postoperative functional rehabilitation group(n=36)and good postop-erative functional rehabilitation group(n=171).Logistic regression method was used to analyze the related factors influencing postoperative functional rehabilitation.Results Compared with the good postoperative functional rehabilitation group,the poor postoperative functional rehabilitation group had a higher proportion of patients aged 76-85 years,surgery timing＞3 days,frac-ture type A3,abnormal hemoglobin,abnormal albumin,intraoperative blood loss≥20 mL,intraoperative and postoperative complications,and general internal fixation stability,and a lower Harris score at 1 week after surgery.The differences were sta-tistically significant(P＜0.05).The results of logistic regression analysis showed that the surgical timing＞3 days,age 76-85 years old,surgical quality,and postoperative rehabilitation quality were independent risk factors for poor functional recovery af-ter PFNA surgery in elderly patients with femoral intertrochanteric fractures(P＜0.05).Conclusion Surgical timing＞3 days,age 76-85 years old,surgical quality,and postoperative rehabilitation quality are independent risk factors for poor func-tional rehabilitation after PFNA in elderly patients with femoral intertrochanteric fractures.Perioperative management should be optimized for high-risk patients to improve the postoperative functional rehabilitation effect.关键词
老年/股骨粗隆间骨折/防旋股骨近端髓内钉/影响因素/术后功能康复Key words
elderly/femoral intertrochanteric fracture/proximal femoral nail antirotation/influencing factor/postopera-tive functional rehabilitation引用本文复制引用
游红林,卿绍攀,陈勇,张大刚..防旋股骨近端髓内钉治疗老年股骨粗隆间骨折的术后康复效果及影响因素分析[J].老年医学与保健,2025,31(4):1196-1200,5.基金项目
成都高新医学会专项科研基金立项课题(2024021) （2024021）
