摘要
目的比较股骨近端抗旋转髓内钉(PFNA)和Gamma钉治疗老龄患者不稳定股骨近端骨折的疗效。方法回顾分析采用PFNA或Gamma钉固定治疗的69例不稳定股骨近端骨折患者,术后4周、12周、6个月、12个月定期随访。评价指标有围手术期资料、功能和疼痛评估、生活状况、骨折愈合情况和主要并发症等。结果在12周时行走能力PFNA组明显优于Gamma钉组(P<0.05)。Gamma钉组延迟愈合和骨不连发生率高于PFNA组(P<0.05)。PFNA组并发症和再手术率低于Gamma钉组(P<0.05)。结论两种治疗方法都能取得良好的手术疗效,PFNA的优点为较低的再手术率、股骨头切出率、再骨折率,在早期康复阶段有优势。
Objective To compare outcome of elderly patients with unstable proximal femoral fractures treated by the proximal femoral nail（PFNA） and the Gamma nail.Methods This study was a retrospective clinical study in which 69 patients with an unstable proximal femoral fracture treated by proximal femoral nail antirotation or Gamma nail.Follow-up visits occurred at 6 weeks,12weeks,6 months and 12 months.Results were measured by perioperative data,functional outcome,pain score,living conditions,fracture healing and main complications.Results The ability to walk at 12 weeks was significantly better in the PFNA group compared to the Gamma nail group（P〈0.05）.More delay fracture healing and nonunion were found in Gamma nails than in PFNA group（P〈0.05）.The PFNA group had more major complications and reoperations rate compared to the Gamma nail group（P〈0.05）.Conclusion Unstable proximal femoral fracture could be treated successfully by the two methods.Advantages with the PFNA were the lower reoperation rate,femoral head cut out and refracture,and the PFNA group was prior to Gamma nail group in early rehabilitation period.
出处
《四川医学》
CAS
2011年第10期1564-1566,共3页
Sichuan Medical Journal
