摘要
目的：探讨股骨近端锁定钢板（LPFP）与股骨近端抗旋髓内钉（PFNA）治疗股骨转子下骨折的临床效果。方法44例股骨转子下骨折患者采用LPFP固定18例、PFNA固定26例。结果 LPFP固定：手术时间60～120 min，术中出血量400～800 ml，骨折愈合时间11～21周。PFNA固定：手术时间60～90 min，术中出血量为150～400 ml，骨折愈合时间11～20周。44例均获得随访，时间10～24个月。髋关节功能按Harris标准进行评价：优31例，良10例，优良率为93.2％。结论两种方式治疗股骨转子下骨折均可获得满意效果，而PFNA具有术中出血量少、手术时间短等优点。
Objective To explore the therapeutic effect of the two internal fixation methods by using locking proximal femoral plate（LPFP）and proximal femoral nail antirotation（PFNA）in femoral subtrochanteric fractures.Methods There were 44 patients who suffered femoral subtrochanteric fracture patients and received operation.The PFNA were used for internal fixation in 26 patients and LPFP in 18 patients.Results By using LPFP fixation,the operation time was 60 ~120 minutes,intraoperative blood loss was 400~800 ml,the bone healing time was 11 ~21 weeks. By using PFNA fixation,the operation time was 60~90 minutes,intraoperative blood loss was 150~400 ml,the bone healing time was 1 1 ~20 weeks.All 44 patients were followed up from 10 months to 24 months.According to Harris rate scale,the results were excellent in 31 patients,good in 10,with excellent and good rate of 93.2%.Con-clusions PFNA and LPFP were both effective devices in femoral subtrochanteric fractures,but by using PFNA fixa-tion,patients suffer less intraoperaive blood loss and shorter operation time.
出处
《临床骨科杂志》
2014年第2期165-167,共3页
Journal of Clinical Orthopaedics
关键词
股骨骨折
股骨近端锁定钢板
股骨近端抗旋髓内钉
骨折固定术
femoral fractures
locking proximal femoral plate
proximal femoral nail antirotation
fracture fixation
