摘要
目的研究老年股骨粗隆间骨折患者采用股骨近端防旋髓内钉(PFNA)内固定治疗的临床效果。方法选择62例老年股骨粗隆间骨折患者作为研究对象,按照治疗方案的不同分为对照组(12例)和观察组(50例)。对照组患者采用股骨头人工置换术治疗,观察组患者采用PFNA内固定治疗。比较两组患者围术期指标,治疗效果,手术前后Harris评分,并发症发生情况。结果观察组患者的手术时间(72.48±8.95)min、术后卧床时间(8.31±2.15)d及住院时间(10.55±2.26)d均短于对照组的(95.62±12.34)min、(14.30±4.32)d、(16.20±2.30)d,术中出血量(142.56±38.74)ml少于对照组的(185.55±42.31)ml,差异具有统计学意义(P<0.05)。观察组患者的治疗总有效率为94.00%,高于对照组的66.67%,差异具有统计学意义(P<0.05)。两组术前Harris评分比较差异无统计学意义(P>0.05);术后3、6个月,观察组患者的Harris评分分别为(72.69±6.34)、(80.96±4.15)分,均高于对照组的(62.70±5.52)、(72.87±3.21)分,差异具有统计学意义(P<0.05)。观察组患者的并发症发生率0低于对照组的25.00%,差异具有统计学意义(P<0.05)。结论予以老年股骨粗隆间骨折患者PFNA内固定治疗的效果显著,术中创伤小,能明显提升术后髋关节功能,且并发症少。
Objective To study the clinical effect of proximal femoral nail anti-rotation(PFNA)internal fixation in elderly patients with femoral intertrochanteric fracture.Methods A total of 62 elderly patients with femoral intertrochanteric fracture were selected as the study subjects and divided into a control group(12 patients)and an observation group(50 patients)according to different treatment regimens.Patients in the control group were treated with artificial femoral head replacement,and patients in the observation group were treated with PFNA internal fixation.The perioperative indexes,therapeutic effect,Harris score before and after surgery,and occurrence of complications were compared between the two groups.Results The operative time(72.48±8.95)min,postoperative bed time(8.31±2.15)d and hospital stay(10.55±2.26)d in the observation group were shorter than(95.62±12.34)min,(14.30±4.32)d and(16.20±2.30)d in the control group;the intraoperative blood loss(142.56±38.74)ml in the observation group was less than(185.55±42.31)ml in the control group;the differences were statistically significant(P<0.05).The total efficiency of treatment in the observation group was 94.00%,which was higher than 66.67%in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in Harris scores before surgery between the two groups(P>0.05).At 3 and 6 months after surgery,the Harris scores in the observation group were(72.69±6.34)and(80.96±4.15)points,which were higher than(62.70±5.52)and(72.87±3.21)points in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 0,which was lower than 25.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion PFNA internal fixation has significant effect for elderly patients with femoral intertrochanteric fracture,and can obviously improve the hip function after surgery,with less intraoperative trauma and few complications.
作者
陈建伟
刘伟
CHEN Jian-wei;LIU Wei(Department of Orthopedics,Tongshan District Hospital of Traditional Chinese Medicine,Xuzhou 221116,China)
出处
《中国实用医药》
2023年第3期58-61,共4页
China Practical Medicine
关键词
老年股骨粗隆间骨折
股骨近端防旋髓内钉内固定
并发症
髋关节功能
Femoral intertrochanteric fracture in the elderly
Proximal femoral nail anti-rotation internal fixation
Complications
Hip function
