摘要
目的观察股骨近端锁定钢板对股骨转子骨折的疗效。方法选取2016年1月~2018年10月在我院进行治疗的股骨转子间骨折患者54例为研究对象。根据手术方式分为股骨近端锁定钢板组29例和PFNA组25例,股骨近端锁定钢板组患者给予股骨近端锁定钢板治疗。PFNA组患者给予防旋近端髓内钉治疗。比较两组患者术前、术后4周、6个月髋关节功能情况,手术相关情况以及术后并发症发生情况。结果两组患者术前、术后4周、术后6个月Harris评分均无明显差异(P>0.05),股骨近端锁定钢板组患者与PFNA组相比,手术时间延长,但术中出血量减少,部分负重时间提前,差异有统计学意义(P<0.05),两组患者切口大小和住院时间比较,差异无统计学意义(P>0.05),两组患者术后并发症发生情况比较,差异无统计学意义(P>0.05)。结论股骨近端锁定钢板与PFNA对于股骨转子骨折均有较好的临床疗效,应根据患者具体情况选择术式。
Objective To observe the therapeutic effect of proximal femoral locking plate on femoral intertrochanteric fracture.Methods A total of 54 patients with femoral intertrochanteric fractures who were treated in our hospital from January 2016 to October 2018 were selected as study subjects.According to the surgical methods,there were 29 cases in the proximal femoral locking plate group and 25 cases in the PFNA group.Patients in the proximal femoral locking plate group were treated with proximal femoral locking plate.Patients in the PFNA group were treated with anti-rotation proximal intramedullary nails.The hip joint function,surgery-related conditions and postoperative complications were compared between the two groups before surgery,4 weeks after surgery and 6 months after surgery.Results There was no significant difference in Harris scores between the two groups before surgery,4 weeks after surgery,and 6 months after surgery(P>0.05).Compared with the PFNA group,the patients in the proximal femoral locking plate group had longer surgery time,but the intraoperative blood loss was reduced,and some weight-bearing time was advanced.The differences were statistically significant(P<0.05).There was no statistically significant difference in the incision size and length of stay between the two groups of patients(P>0.05).There was no statistically significant difference in postoperative complications between the two groups(P>0.05).Conclusion The proximal femoral locking plate and PFNA have a favorable clinical effect on the femoral intertrochanteric fracture.The surgical procedure should be selected according to the patient's specific conditions.
作者
王纯育
邓天伟
WANG Chunyu;DENG Tianwei(Department of Orthopedics,West China Hospital Sichuan University Ziyang Hospital (the First People's Hospital of Ziyang),Ziyang 641300,China;Department of Orthopedics,Mianning County People’s Hospital in Sichuan Province,Mianning 615600,China)
出处
《中国现代医生》
2019年第24期75-77,共3页
China Modern Doctor
