摘要
目的对比重建股骨距(股骨近端外侧锁钉钢板辅助前侧短重建钢板)与股骨近端防旋髓内钉(PFNA)治疗老年不稳定股骨粗隆间骨折疗效,为患者治疗方式的选择提供依据。方法选取2014年1月—2016年1月于江苏省连云港市第一人民医院骨科收治的80例老年不稳定股骨粗隆间骨折患者,依据随机数字表法分为重建股骨距组和PFNA组,各40例,重建股骨距组采用重建股骨距治疗,PFNA组采用PFNA治疗,比较两组患者疗效。结果两组患者疗效优良率比较,差异无统计学意义(P>0.05);两组患者开始部分负重时间比较,差异无统计学意义(P>0.05),PFNA组的手术时间、手术切口长度、出血量和骨折愈合时间低于重建股骨距组(P <0.05);两组患者并发症发生率比较,差异无统计学意义(P>0.05)。结论 PFNA和重建股骨距治疗老年不稳定股骨粗隆间骨折疗效确切,但PFNA微创、创伤小且愈合快,应为首选,而重建股骨距可作为PFNA的有效补充。
Objective To compare the effect of reconstructing calcar femorale(locking proximal femur plate and auxiliary short reconstructed plate)and proximal femoral nail anti-rotation(PFNA)in the treatment of unstable femoral intertrochanteric fractures in elderly patients,and provide the basis for the choice of treatment methods.Methods Eighty cases of unstable intertrochanteric fractures admitted to the First People’s Hospital of Lianyungang from January 2014 to January 2016 were randomly divided into group A(40 cases)and group B(40 cases).The patients in the group A were treated with reconstruction of calcar femorale,those in the groups B were treated with PFNA.The clinical efficacy in the two groups were compared.Results All patients healed in stageⅠ,there was no significant difference in the efficacy rate between the two groups(P>0.05).The beginning time of partial loading in the two groups had no difference(P>0.05).The operation time,length of surgical incision and fracture healing time in the group A were shorter than those in the group B(P<0.05),and the amount of bleeding was smaller than that in the group B(P<0.05).The incidence of complications was not statistically different between the groups A and B(P>0.05).Conclusions Both reconstruction of calcar femorale and PFNA are effective for the treatment of unstable femoral intertrochanteric fractures in elderly patients.However,PFNA with minimal invasion,little trauma and rapid healing should be preferred,and reconstruction of calcar femorale may be used as an effective supplement to PFNA.
作者
张宏
孙晓
孟祥圣
王岩
Hong Zhang;Xiao Sun;Xiang-sheng Meng;Yan Wang(Department of Emergent Surgery,the First People’s Hospital of Lianyungang,Lianyungang, Jiangsu 222002,China)
出处
《中国现代医学杂志》
CAS
2018年第35期111-115,共5页
China Journal of Modern Medicine
