摘要
目的比较股骨近端防旋髓内钉(PFNA)内固定与半髋关节置换术治疗老年性股骨粗隆间骨折的效果。方法 PFNA内固定术治疗股骨粗隆间骨折的病人89例(A组)、半髋关节置换术治疗股骨粗隆间骨折的病人35例(B组),比较两组病人手术切口长度、手术出血量、手术时间、住院时间、术后开始负重时间、骨折愈合时间、Harris评分及并发症发生率。结果病人术后随访6~24个月,平均12个月。A组病人平均手术切口长度、手术时间、手术出血量、住院时间、并发症发生率低于B组,Harris评分高于B组,术后负重时间长于B组(t=6.535~11.948,χ~2=30.25,Uc=3.05,P<0.05);但两组骨折平均愈合时间比较差异无显著性(P>0.05)。结论与半髋关节置换术相比,PFNA内固定治疗股骨粗隆间骨折效果确切,而且有创伤小、恢复快、并发症少等优点。
Objective To investigate the clinical effect of proximal femoral nail anti-rotation （PFNA） internal fixation versus hemiarthroplasty in the treatment of elderly femoral intertrochanteric fractures. Methods A total of 89 patients with femoral intertrochanteric fractures were treated with PFNA internal fixation （group A）, and 35 patients were treated with hemiar- throplasty （group B）. The two groups were compared in terms of incision length, intraoperative blood loss, time of operation, length of hospital stay, postoperative weight hearing time, fracture healing time, Harris score, and incidence of complications. Results The patients were followed up for 6--24 months after surgery （mean 12 months）. Compared with group B, group A had significantly shorter incision length, time of operation, and length of hospital stay, significantly less intraoperative blood loss, sig nificantly lower incidence rates of complications, a significantly higher Harris score, and a significantly longer postoperative weight bearing time （t =6.535 11.948,χ2=30.25 ,Uc=3.05 ,P〈0.05）. There was no significant difference in mean fracture healing time between the two groups （P〉0.05）. Conclusion Compared with hemiarthroplasty, PFNA internal fixation has a marked effect in the treatment of femoral intertrocanteric fractures, with the advantages of little trauma, quick recovery, and few complications.
出处
《齐鲁医学杂志》
2017年第2期192-194,共3页
Medical Journal of Qilu
关键词
股骨骨折
骨钉
骨折固定术
髓内
关节成形术
置换
髋
femoral fractures
bone nails
fracture fixation
arthroplasty, replacement, hip
