摘要
目的比较PFNA和DHS在治疗高龄股骨粗隆间骨折中的疗效。方法选择自2011年2月至2012年1月来我院就诊的75例老年股骨粗隆骨折患者,对其中39例患者使用DHS固定进行治疗,其余36例患者使用闭合复位PFNA固定治疗,同时对患者的手术资料、髋关节功能和术后并发症进行临床随访,分析数据。结果 PFNA组手术时间和术中的出血量等均比HDS组小,两组骨折愈合的时间没有显著性统计学差异。HDS组有6例患者发生术后并发症,其中3例患者发生股骨干骨折,2例患者有轻度的髋内翻,1例内固定失效;PFNA组没有发生明显的术后并发症。结论 PFNA治疗高龄股骨粗隆骨折方法简便、出血量少、手术时间短,尤其是对于一些伴有骨质疏松的老年股骨粗隆骨折患者,具有更加理想的疗效,适合在临床推广应用。
Objective To compare the efficacy of PFNA and DHS in the treatment of elderly patients with femoral intertrochanteric fractures. Methods Seventy-five elderly patients with femoral intertrochanteric fractures in our hospital from February 2011 to January 2012 were selected, from whom 39 patients were treated with DHS internal fixation, and the remaining 36 patients were treated with dosed reset PFNA internal fixation. The patients were followed up, and the surgical data, hip function and postoperative complications were analyzed. Results The surgical time and intraoperative bleeding volume in the PFNA group was less than that in the HDS group. By comparison, the time of fracture healing had no significantly statistical difference between the two groups. 6 patients in HDS group had postoperative complications, including 3 patients with femoral shaft fractures, 2 patients with mild hip varus and one patient with internal fixation failure; no patients in PFNA group had significant postoperative complications. Conclusions PFNA in the treatment of elderly patients with femoral intertrochanteric fractures is simple, less bleeding, with shorter operative time and desired effect, especially for those elderly intertrochanteric fracture patients associated with osteoporosis, which is suitable for clinical application.
出处
《临床医学工程》
2013年第1期55-56,共2页
Clinical Medicine & Engineering
关键词
DHS
PFNA
股骨粗隆骨折
老年人
DHS
PFNA
Femoral intertrochanteric fracture
Elderly people
