摘要
目的探讨闭合复位外固定支架固定及PFNA髓内固定的手术时间、术中出血(显性、隐性)、术后并发症等,评价闭合复位外固定支架固定在治疗老年股骨粗隆间骨折中的疗效。方法对老年股骨粗隆间骨折患者68例分别行闭合复位外固定支架固定及PFNA髓内固定术,将两组患者的手术时间、术中出血(显性、隐性)、术后并发症分别进行对比分析。结果外固定支架及PFNA髓内固定在手术时间上外固定支架优于PFNA,在术中真性出血方面外固定支架明显少于PFNA髓内固定,术后并发症无明显差异。结论闭合复位外固定支架固定治疗老年股骨粗隆间效果满意,尤其适用于年老体弱及有合并症的患者。
Objective By review the operation time and intraoperative bleeding characters （dominant, recessive） and postoperative complications and other cases between the closed reduction and external fixation bracket and PFNA in- tramedullary fixation, to estimate the curative effect of the closed reduction and external fixation bracket in treating intertro- chanteric osteotomy of femur for elderly patients. Methods By dividing the 68 cases of elderly patients with intertrochan- teric osteotomy of femur into two groups, and treating with closed reduction and external fixation bracket and PFNA intra- medullary fixation separately, and analyzing the cases of operation time andintraoperative bleeding characters （dominant, recessive） and postoperative complications etc. Results The closed reduction and external fixation bracket is exceed in Operation time, and the truely intraoperative bleeding characters of the closed reduction and external fixation bracket is ob- viously less than the PFNA intramedullary fixation, and no significant difference between them in postoperative complica- tions. Conclusion The closed reduction and external fixation bracket is satisfactory in the treatment of intertrochanteric osteotomy of femur for the elderly patients, especially suitable for patients with Complication or were advanced in age and poor in health.
出处
《菏泽医学专科学校学报》
2015年第1期19-21,共3页
Journal of Heze Medical College
