应用股骨近端髓内钉与动力髋(髁)螺钉治疗老年股骨转子间骨折的对比分析  

A comparative analysis of dynamic hip/condylar screw and proximal femoral nailing antirotation for treatment of intertrochanteric fractures in the elderly

作　　者：梁春雨[1] 张柳[1] 平少华[1] 白俊清[1] 冯林杰[1] 王宇[1] 

机构地区：[1]河北联合大学附属医院骨科,唐山063000

出　　处：《中国矫形外科杂志》2011年第24期2038-2040,共3页Orthopedic Journal of China

摘　　要：[目的]比较应用股骨近端髓内钉(PFNA)与动力髋(髁)螺钉(DHS/DCS)治疗老年股骨转子间骨折的临床效果。[方法]应用股骨近端髓内钉(PFNA)治疗老年股骨转子间骨折患者49例,应用动力髋(髁)螺钉(DHS/DCS)患者62例,分别对术中出血量、手术时间、术中和术后并发症、术后髋关节功能评分进行比较分析。[结果]DHS组手术方式出血量显著高于PFNA组(P<0.05),术后并发症显著少于DHS/DCS组(P<0.05),髋关节功能(Harris评分)优良率显著高于DHS/DCS组(P<0.05)。[结论]多数情况下,股骨近端髓内钉(PFNA)在治疗老年股骨转子间骨折时较动力髋(髁)螺钉(DHS/DCS)具有显著优势。[Objective]To compare the clinical effects of dynamic hip/condylar screw（DHS/DCS）and proximal femoral nailing antirotation（PFNA） for treatment of intertrochanteric fractures in the elderly. [Method]Forty-nine elderly patients with intertrochanteric fractures were treated using proximal femoral nailing antirotation,and 62 were treated using dynamic hip/condylar screw.The data of each group were recorded,and blood loss,operation time,total complications and postoperative Harris scores for hip joint were analyzed. [Result]The blood loss,total complications and postoperative Harris scores for hip joint were of statistical significance（P〈0.05）.In comparing with DHS/DCS group,PFNA group was of less blood loss and less operative was complications.The postoperative Harris scores for hip joint of PFNA group was more satisfactory. [Conclusion]In most cases,proximal femoral nailing antirotation is clearly superior to dynamic hip/condylar screw for treatment of intertrochanteric fractures in the elderly.

关 键 词：股骨转子间骨折 股骨近端抗旋转髓内钉 髋动力螺钉 动力髁螺钉 

分 类 号：R687.3[医药卫生—骨科学]