摘要
目的比较PFNA与InterTan系统在治疗股骨转子间骨折的疗效,为股骨转子间骨折手术方式的选择提供依据。方法对我科2013年2月~2014年1月采用PFNA或InterTan系统内固定治疗的64例股骨转子间骨折患者进行前瞻性对照研究,28例为PFNA治疗,36例采取InterTan治疗。比较两组的手术时间、术中出血量、住院时间、1年后髋关节功能等。结果 PFNA组较InterTan组手术时间相对较短,两者术中出血量、住院时间、1年后Harris评分没有明显差异。结论 PFNA和InterTan两种内固定设计均符合转子间骨折的生物力学要求,符合微创手术理念,其中PFNA组件更少,操作相对简单,手术时间短,对需要减少手术时间的老年患者更为有利,InterTan理论上具有更高的稳定性,更适合复杂骨折、不稳定骨折且相对较年轻的股骨转子间骨折患者使用。
Objective To compare the curative effect of PFNA and InterTan internal fixation system in treatment of intertrochanteric fracture of femur, and to provide the basis for the selection of operative methods for intertrochanteric fractures. Methods 64 cases of intertrochanteric fracture patients cured by PFNA or InterTan internal fixation system in our hospital from February 2013 to January 2014 were given prospective controlled study. 28 cases were divided into PFNA group, and 36 cases were divided into InterTan group. Operation time, intraoperative blood loss, length of stay, hip function after 1 years of the two groups were compared. Results The operation time of operation time is relatively short is relatively shorter than that of InterTan group. There was no significant difference in intraoperative blood loss, hospital stay, and Harris scoreafter 1 years between the two groups. Conclusion The two kinds of internal fixation designs of PFNA and InterTan accord with the biomechanical requirements of intertrochanteric fractures, and they accord with the concept of minimally invasive surgery. The PFNA component is less, the operation is relatively simple, the operation time is short, and it can reduce the operation time of elderly patients more favorable. InterTan has higher stability in theory, more suitable for patients with complex fractures, unstable fractures and relatively young patients with intertrochanteric fractures.
出处
《中国医药科学》
2017年第1期137-139,142,共4页
China Medicine And Pharmacy
基金
广西柳州市科协软科学研究项目(柳科协软20150104)
