摘要
目的探讨股骨近端防旋髓内钉(PFNA)与短重建钉治疗难复型股骨粗隆间骨折的疗效。方法随机将64例难复型股骨粗隆间骨折患者分为对照组和研究组,每组32例,对照组采用短重建钉髓内钉治疗,研究组采用PFNA治疗,比较两组临床疗效、手术指标、术后并发症。结果两组临床治疗优良率比较差异无统计学意义;两组切口长度、手术时间、术中出血量和术后引流量比较差异均具统计学意义(P<0.05);两组术后并发症发生率比较差异无统计学意义,研究组术后1年随访并发症发生率低于对照组(0.00%vs 15.63%)(P<0.05)。结论 PFNA与短重建钉治疗难复型股骨粗隆间骨折的临床疗效相似,但PFNA治疗可显著改善手术指标,降低患者晚期并发症发生率。
Objective To investigate the effect of proximal femoral intramedullary nail(PFNA)and short reconstructive nail in the treatment of refractory intertrochanteric fracture of femur.Methods64cases of refractory intertrochanteric fractures were randomly divided into control group and study group,32cases in each group.The control group was treated with short reconstruction nail,and the study group was treated with PFNA.The clinical efficacy,operative index and postoperative complications of the two groups were compared.Results There was no significant difference in the excellent and good rate between the two groups.There were significant differences in incision length,operative time,intraoperative blood loss and postoperative drainage volume between the two groups(P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups.The incidence of complications in the study group was lower than that in the control group(0.00%vs15.63%)(P<0.05).Conclusion PFNA is similar to short reconstruction nail in the treatment of refractory intertrochanteric fractures,but PFNA treatment can significantly improve operative index and reduce the incidence of late complications.
作者
吴海建
Wu Haijian(Department of Orthopedics and Traumatology,Traditional Chinese Medicine Hospital of Dayu County,Ganzhou,Jiangxi,341500,China)
出处
《当代医学》
2018年第36期73-75,共3页
Contemporary Medicine
关键词
股骨近端防旋髓内钉
难复型股骨粗隆间骨折
短重建钉
临床疗效
Proximal femoral anti rotation intramedullary nail
Refractory intertrochanteric fracture of femur
Short reconstructive nail
Clinical effect
