摘要
目的探究两种外科手术治疗外侧壁危险性股骨转子间骨折的疗效。方法回顾性分析2013年1月-2015年1月该院收治的110例外侧壁危险型股骨转子间骨折患者的临床资料。其中,53例患者采用股骨近端防旋髓内钉-Ⅱ(PFNA-Ⅱ)内固定治疗设为观察组,57例患者采用动力髋螺钉(DHS)内固定治疗设为对照组。对比两组患者的手术时间、手术总出血量、术后完全负重时间、骨折愈合时间、术后半年Harris髋关节评分、术后并发症发生情况。结果观察组患者的手术时间短于对照组,手术总出血量高于对照组,差异有统计学意义(P<0.05)。术后6个月随访,3例患者出现延迟愈合,无患者进行翻修。观察组患者的术后完全负重时间、骨折愈合时间短于对照组,术后半年Harris髋关节评分优于对照组,差异有统计学意义(P<0.05)。观察组患者并发症总发生率为10.00%,对照组患者为16.00%,差异有统计学意义(P<0.05)。结论采用PFNA-Ⅱ治疗外侧壁危险型股骨转子间骨折,患者骨折愈合较快,术后负重早,恢复较快,髋关节功能恢复较佳,值得在临床上进一步推广和使用。
Objective To explore two kinds of internal fixation for treatment of lateral-wall dangerous type of intertrochanteric fracture. Methods The clinical data of 110 patients treated for intertrochanteric fracture of the lateral wall in our hospital between January 2013 and January 2015 were retrospectively analyzed. Among them 53 patients were treated with proximal femoral nail anti-rotation -Ⅱ （PFNA-Ⅱ） fixation （observation group）, and 57 patients were treated with dynamic hip screw （DHS） internal fixation （control group）. The operating time, blood loss, postoperative full weight-bearing time, fracture healing time, Harris hip score after six months of fixation and postoperative complications were compared between the two groups. Results The observation group had shorter operation time and higher total surgical bleeding volume than the control group, the differences were statistically significant （P 〈 0.05）. After 6 months of follow-up, 3 patients had delayed union, no patients underwent renovation. Postoperative full weight-bearing time and fracture healing time were significantly shorter in the observation group than in the control group; the Harris hip score after six months of fixation in the observation group was significantly better than that in the control group （P 〈 0.05）. The incidence of complications was 10.00% in the observation group and 16.00% in the control group, the difference was statistically meaningful （P 〈 0.05）. Conclusions PFNA-Ⅱ treatment provides faster healing, faster recovery after loading and better recovery of hip function for patients with intertrochanteric fracture of the lateral wall, can be further promoted and used in clinical practice.
出处
《中国现代医学杂志》
CAS
北大核心
2016年第21期109-112,共4页
China Journal of Modern Medicine
