摘要
目的比较加长型股骨近端防旋转髓内钉(proximal femoral nail anti rotation,PFNA)及股骨近端锁定钢板治疗股骨粗隆下骨折的临床疗效。方法回顾性分析2011-09~2015-08在该院行手术治疗的65例股骨粗隆下骨折患者的临床资料,其中包括采用加长型PFNA治疗的患者31例(加长型PFNA组)和采用股骨近端锁定钢板治疗的患者34例(锁定钢板组)。记录每例患者的手术时间、术中出血量、术后完全负重时间、骨折愈合时间及术后颈干角丢失的情况,利用Harris评分评估术后6个月时的功能。结果两组患者随访时间为11~25个月,平均16个月。两组Harris评分差异均无统计学意义(P>0.05)。加长型PFNA组手术时间、完全负重时间、骨折愈合时间均短于锁定钢板组,出血量少于锁定钢板组,颈干角丢失程度低于锁定钢板组。结论加长型PFNA治疗股骨粗隆下骨折具有手术创伤小、出血量少、允许患者早期下地、固定牢靠的优点,有较好的疗效。
ObjectiveTo compare the clinical effects of long proximal femoral nail anti rotation(PFNA)and proximal femur locking plate on the treatment of subtrochanteric fracture.MethodsThe clinical data of 65 patients with subtrochanteric fracture in our hospital from September 2011 to August 2015 were retrospectively analyzed,among whom 31 cases received long PFNA and 34 cases were treated with proximal femur locking plate.The operation time,intraoperative blood loss,full weight bearing time,fracture healing time and neck shaft angle discrepancy were analyzed.The femoral head function was assessed by Harris scores system 6 months after the operation.ResultsThe average follow up period was 16 months(ranges from 11 to 25).There were no significant differences between the long PFNA group and the proximal femur locking plate group in the general condition and Harris scores(P>0.05).The long PFNA group had shorter operation time,full weight bearing time and fracture healing time,less intraoperative blood loss and less neck shaft angle discrepancy than the proximal femur locking plate group.ConclusionLong PFNA has the advantages of less invasion and intraoperative blood loss,earlier walk,firmer fixation and better clinical effect than the proximal femur locking plate in the treatment of subtrochanteric fracture.
作者
左德灵
尹东
陈雄
黄文文
石伟发
王成龙
ZUO De-ling;YIN Dong;CHEN Xiong(Guangxi Medical University,Nanning 530021,China)
出处
《中国临床新医学》
2018年第2期136-140,共5页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
关键词
股骨粗隆下骨折
内固定
股骨近端防旋转髓内钉
锁定钢板
Subtrochanteric fracture
Internal fixation
Proximal femoral nail anti rotation
Locking plate
