期刊文献+

PFNA与Gamma钉治疗老年股骨转子间骨折的疗效比较 被引量:8

Efficacy of PFNA and Gamma nail in treatment of intertrochanteric fractures in elderly
下载PDF
导出
摘要 目的观察股骨近端防旋加锁髓内钉(PFNA)与Gamma钉治疗老年股骨转子间骨折的临床疗效,探讨PFNA治疗老年股骨转子间骨折的应用价值。方法将100例老年股骨转子间骨折分为PFNA组(54例)和Gamma钉组(46例),分别采用PFNA和Gamma钉治疗,观察2组患者不同年龄段手术情况、术后恢复情况及手术并发症情况。结果 PFNA组各年龄段手术时间、术中出血量均明显低于Gamma钉组同年龄段患者(P<0.05);2组患者骨折愈合时间比较无显著差异(P>0.05);PFNA组75岁以上患者Harris评分明显高于Gamma钉组(P<0.05);PFNA组术后并发症明显低于Gamma钉组(P<0.05)。结论 PFNA治疗老年股骨转子间骨折具有固定牢靠、防旋能力好、手术创伤小、并发生少等优点,且适合各年龄段股骨转子间骨折。 Objective to observe the efficacy and application value of PFNA and Gamma in the treatment of intertrochanteric fractures in elderly. Methods 100 patients with intertrochanteric fractures were divided into PFNA group and Gamma group, who received PFNA treatment and Gamma treatment respectively. And the operation status of patients at different ages, postoperative recovery, and complications were observed. Results The operation time, intraoperatve blood soss of PFNA group were lower than those of Gamma group (P 〈0. 05). There was no significant difference in fracture healing time. The Harris score of the over 75s in PFNA group was higher than that in Gamma group ( P 〈 0. 05 ), and the complications were less than Gamma group ( P 〈 0.05 ). Conclusion PFNA was suitable for the patients at differ- ent ages with the advantages of more rigid fixation, good anti-rotation, fewer trauma and fewer complications.
出处 《局解手术学杂志》 2014年第3期272-274,共3页 Journal of Regional Anatomy and Operative Surgery
关键词 股骨转子间骨折 老年 股骨近端防旋加锁髓内钉 GAMMA钉 手术并发症 intertrochanteric fracture elderly proximal femoral nail anti-rotation Gamma nail surgical complication
  • 相关文献

参考文献14

二级参考文献108

共引文献522

同被引文献75

  • 1洪尚浩.用PFNA治疗老年股骨转子间骨折的疗效分析[J].当代医药论丛,2014,12(13):225-226. 被引量:2
  • 2Yuan GX,Shen YH,Chen BO,et al. Biomechanical comparison of internal fixations in osteoporotic intertrochanteric fracture[J]. Saudi Med J,2012,33(7):732-739.
  • 3Cooper C,Cole ZA, Holroyd CR,et al. Secular trends in the incidence of hip and other osteoporotic fractures[J]. Osteoporos Int,2011,22;1277-1288.
  • 4Haidukewych GJ, Israel TA, Berry DJ. Revese obliyuity fractures of the intertrochanteric region of the femur[J]. J Bone Joint Surg Am,2001,83(5):643-650.
  • 5Mereddy P,Kamath S,Ramakrishnan M,et al. The AO/ ASIF proximal femoral nail antirotation (PFNA): A new design for the treatment of unstable proximal femoral frac-tures[J]. Injury,2009,40(4):428-432.
  • 6Giesinger K,Ebneter L,Day RE,et al. Can plate osteosynthesis of periprosthethic femoral fractures cause cement mantle failure around a stable hip stem? A biomechanical analysis[J]. J Arthroplasty,2014,29(6):1308-1312.
  • 7Dhamangaonkar ACJoshi D, Goregaonkar AB, et al. Proximal femoral locking plate versus dynamic hip screw for unstable intertrochanteric femoralfractures[J], J Orthop Surg (Hong Kong),2013,21(3):317-322.
  • 8Park SY,Yang KH,Yoo JH,et al. The treatment of reverse obliquity intertrochanteric fractures with the in-tramedullary hip nail[J]. J Trauma,2008,65(4):852-857.
  • 9Strauss E,Frank J,Lee J,et al. Helical blade versus sliding hip screw for treatment of unstable intertrochanteric hip fractures; A biomechanical evaluation[J]. Injury,2006,37(10):984-989.
  • 10Harris WH. Traumatic arthritis of the hip after dislocation and ace- tabular fractures: treatment by mold arthroplasty. An end-result study using a new of result evaluation [ J]. J Bone Joint Surg Am, 1969, 51(4) : 737-755.

引证文献8

二级引证文献11

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部