PFNa治疗骨质疏松性股骨转子间骨折的临床观察  

Effect of PFNa on treatment of osteoporotic intertrochanteric fracture

作　　者：陈海良[1] 庞瑞明[1] 刘红财[1] 盛朝辉[1] 曾伟坤[1] 吴泽荣[1] 

机构地区：[1]深圳市宝安区中医院骨科,广东深圳518133

出　　处：《海南医学院学报》2011年第4期532-534,共3页Journal of Hainan Medical University

基　　金：海南医学院科研基金资助学报项目(0020110122)~~

摘　　要：目的:探讨防旋型股骨近端髓内钉(PFNa)治疗骨质疏松性股骨转子间骨折的临床效果。方法:将我院2007年1月至2009年12月间收治的股骨转子间骨折患者82例,随机分为研究组和对照组,研究组38例,采用旋型股骨近端髓内钉(PFNa)治疗;对照组44例,采用动力髋部螺纹钉(DHS)治疗。比较两种方法的治疗效果和术后并发症发生情况。结果:研究组平均手术时间较对照组短,术中出血量显著少于对照组,差异具有统计学意义(P<0.05)。但两组患者骨折愈合时间和术后髋关节评分无显著差异(P>0.05)。两组患者术后无感染,2例患者内固定断裂失效,1例发生髋内翻,1例股骨干骨折,术后并发症发生率为9.1%(4/44);研究组未发生并发症。结论:PFNa操作简单,手术时间短,创伤少,内固定可靠,是一种治疗骨质疏松的转子间骨折理想的治疗方法。Objective： To investigate the effect of PFNa on treatment of osteoporotic intertrochanteric fracture.Methods： A total of 82 cases with intertrochanteric fracture were randomly divided into observation group and the control group.There were 38 cases in observation group,treated by PFNa;while there were 44 cases in control group,treated by DHS.The efficacy and incidence of postoperative complications were observed and compared between two groups.Results： The average operation time was significantly shorter and bleeding volume was significantly less in observation group（P〈0.05）.But there were no significant differences in healing time and postoperative hip score（P〉0.05） No infection occurred in two groups.Two cases had internal fixation fracture,1 case had tcoxa vara,and 1 case had hip femoral fractures,with incidence rate of postoperative complications as 9.1%（4/44）.No complications occurred in observation group.Conclusions： The procedure of PFNa is simple,and of short operative time,minimally incision and stable internal fixation.It is effective on treating osteoporosis intertrochanteric fracture.

关 键 词：股骨转子间骨折 PFNA DHS 治疗 

分 类 号：R683[医药卫生—骨科学]