摘要
目的:观察近端股骨防旋髓内钉技术(PFNA)在股骨粗隆间骨折中的应用及临床治疗效果。方法:46例股骨粗隆间骨折患者随机分为两组,对照组23例患者接受钢板锁定治疗,PFNA组手术时间23例患者均接受PFNA治疗。比较两组手术治疗效果。结果:PFNA组手术时间[(80.5±24.2)min]和骨折愈合时间[(84.2±11.5)d]均显著短于对照组[(105.4±19.2)min和(93.5±14.2)d],术中出血量也明显少于对照组([(124.6±44.3)ml比(477.2±169.5)ml,P<0.05)。PFNA组1例患者内固定断裂;对照组4例髋内外翻,2例固定物脱出。PFNA组并发症发生率显著低于对照组(4.3%比26.1%,P<0.05)。结论:PFNA治疗股骨粗隆骨折手术操作简单,固定安全可靠,是有效的治疗方式。
Objective:To observe the clinical effects of proximal femoral anti-rotation nail technique (PFNA)in treating intertrochanteric fractures.Methods:Forty-six patients with intertrochanteric fracture were randomly divided into two groups. In the control group (n=23),patients received treatment of steel plate with lock. In the PFNA group (n=23), patients were given PFNA treatment. The curative effect was compared between the two groups.Results:Compared to the control group,patients in PFNA group had shorter operation time [(80.5±24.2)minutes vs. (105.4±19.2)minutes] and fracture healing time[(84.2 ± 11.5)days vs. (93.5 ± 14.2)days],with less blood loss during the operation [(124.6±44.3)ml vs. (477.2±169.5)ml],and the difference was significant (P<0.05). In PFNA group,1 patient suffered from broken fixator. In the control group,4 patients suffered valgus or varus deformity,and extrusion of the im-plant accurred in 2 patients.The rate of complications in PFNA group (4.3%)was significantly lower than that of the control group (26.1%,P<0.05).Conclusions:PFNA is an effective treatment for intertrochanteric fractures,as it is simpler in operation,safe and with reliable fixation.
出处
《感染．炎症．修复》
2014年第4期232-234,共3页
Infection Inflammation Repair
关键词
骨折
股骨粗隆
近端股骨防旋髓内钉技术
Fracture
Intertrochanteric
Proximal femoral nail anti-rotation
