PFNA结合抗骨质疏松药物治疗老年股骨粗隆间骨折临床观察  

The clinical observation of PFNA combined with anti-osteoporosis drugs for the treatment of intertrochanteric fractures in the elderly

作　　者：刘艳辉[1] 吴荣光 高凤梅[1] 吴占坡 赵红林[1] 李玉峰[1] 杨伟胤[1] 

机构地区：[1]河北省衡水市第二人民医院骨科,河北衡水053000 [2]湖北省恩施市巴东县中医院骨科

出　　处：《中国骨质疏松杂志》2011年第6期526-528,共3页Chinese Journal of Osteoporosis

摘　　要：目的探讨PFNA结合抗骨质疏松药物治疗老年股骨粗隆间骨折的临床疗效。方法将60例老年骨质疏松性股骨粗隆间骨折分成两组,分别采用PFNA结合抗骨质疏松药物治疗和单纯PFNA治疗。结果术后随访6～24个月,平均18个月。两组间骨痂平均出现时间和骨折平均愈合时间,差异有统计学意义(P<0.05)。髋关节功能疗效,差异无统计学意义(P>0.05)。结论 PFNA适用于老年骨质疏松性股骨粗隆间骨折的治疗,同时应用抗骨质疏松药物治疗,可取得更加满意的疗效。Objective To investigate the clinical efficacy of PFNA combined with anti-osteoporosis drugs for intertrochanteric fractures in the elderly patients. Methods Sixty elderly patients with osteoporotic intertrochanteric fractures were divided into 2 groups： treated with either PFNA combined with antiosteoporosis drugs or PFNA alone. Result All patients were followed up for 6-24 months, 18 months in average. The average time of callus occurrence and fracture healing was different between the two groups, with statistically significance （ P 〈 0.05）. The clinical function of the hip was not different significantly （ P 〉 0. 05）. Conclusion PFNA was a suitable treatment for intertrochanteric fractures in the elderly patients. PFNA combined with anti-osteoporosis drugs might achieve better efficacy.

关 键 词：PFNA 骨质疏松 股骨粗隆间骨折 

分 类 号：R687.3[医药卫生—骨科学]