摘要
目的比较股骨近端抗旋转髓内钉(proximal femoral nail antirotation,PFNA)和髋动力螺钉(dy-namic hip screw,DHS)在治疗股骨粗隆间骨折中的优势。方法将2007年1月～2010年12月于该院骨科收治的股骨粗隆间骨折患者105例纳入研究,进行回顾性分析。其中,PFNA组共49例,DHS组共56例。收集各研究对象的相关数据,包括手术时间、术中出血量、恢复至可行走所需的时间、骨折所需愈合时间以及髋关节功能的Parker评分。结果①与DHS组相比,PFNA组的手术时间较短、术中出血量较少、患者术后恢复至能下地行走的时间较短,差异均有显著性;而两组骨折愈合所需的时间无显著性差异;②在不稳定性股骨粗隆间骨折患者中,PFNA组患者恢复的优良率高于DHS组,差异有显著性;而在稳定性股骨粗隆间骨折患者中,两组患者恢复的优良率在两组间差异无显著性。结论与DHS组相比,PFNA在股骨粗隆间骨折的治疗中显出更大的优势。
【Objective】 To find the superiority between proximal femoral nail antirotation（PFNA） and dynamic hip screw（DHS） in the therapy of femoral intertrochanteric fractures.【Methods】 A set of 105 patients from January 2007 to December 2010 with femoral intertrochanteric fractures were involved,including 49 patients treated with PFNA and 56 patients treated with DHS.The data of patients were collected,including the operative duration,blood loss,recovery stage for walking,duration for fracture union and Parker scores of hip function.【Result】（1）Compared with DHS group,PFNA group had shorter operative duration,less blood loss,shorter recovery stage for walking,the differences were significant;But there was no significant difference on the part of duration for fracture union between the groups.（2）In unstable femoral intertrochanteric fractures,the excellent and good rate of PFNA group was higher than DHS group,the difference was significant;but there was no significant difference on the part of stable femoral intertrochanteric fractures between the two groups.【Conclusion】 Compared with the treatment by DHS,PFNA has more superiority in the therapy of femoral intertrochanteric fractures.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2011年第19期2283-2285,共3页
China Journal of Modern Medicine
关键词
股骨骨折
抗旋转髓内钉
髋动力螺钉
femoral intertrochanteric fractures
proximal femoral nail antirotation
dynamic hip screw
