摘要
目的:探讨髓内固定系统和钉板固定系统在股骨粗隆间骨折的运用疗效。方法:60例股骨粗隆间骨折患者平分为两组,治疗组与对照组各30例,治疗组采用基于PFNA的髓内固定系统手术方法,对照组患者采用DHS的钉板固定系统手术方法。结果:经过对比观察,两组在住院时间和骨折愈合时间的比较时无显著性差异(P>0.05)。经过随访观察,两组术后髋关节功能评分方面的比较时无显著性差异(P>0.05)。结论:髓内固定系统和钉板固定系统在股骨粗隆间骨折的运用疗效与预后效果都比较好,可根据临床情况推广应用。
Objective：To assess the efficacy of intramedullary fixation and apical plate fixa- tion system in the treatment of intertrochanter fracture of femur. Methods：60 patients with intertrochanter fracture of femur were equally divided into treatment group（ 30 cases）, in which treatment was based on PFNA intramedullary fixation system, and control group （ 30 cases ）, in which treatment was based on DHS apical plate fixation system. Results：Both groups showed no significant difference in hospital stay and fracture healing time（P 〈0. 05）. Upon follow - up,the two groups showed no significant difference in post- operation hip joint function score either. Conclusion： Both systems of intramedul- lary fixation and apical plate fixation in treatment of intertrocbanter fracture of femur are satisfactory, and worth popularizing.
关键词
髓内固定系统
钉板固定系统
股骨粗隆间骨折
Intramedullary fixation system
Apical plate fixation system
Intertrochanter fracture of femur
