髋动力锁定钢板、重建钉与动力髋钢板治疗高龄股骨转子间骨折患者的疗效分析  

Effect of anatomical dynamic hip lock plate, proximal femoral nail, and dynamic hip screws in the treatment of subtrochanteric femoral fractures in elderly patients: a comparative study

作　　者：许思亮[1] 朱智奇[1] 候明[1] 

机构地区：[1]深圳市龙岗区人民医院骨科,广东深圳518000

出　　处：《海南医学》2012年第16期74-76,共3页Hainan Medical Journal

摘　　要：目的探讨髋动力锁定钢板、重建钉与动力髋钢板在高龄股骨转子间骨折患者中的疗效差别。方法回顾性研究我院收治的股骨转子间骨折患者共104例,根据治疗方式不同分为髋动力锁定钢板(ADHLP)组、重建钉(PFN)组以及动力髋钢板(DHS)组。对比三组患者手术时间、术中出血术后1个月、6个月、12个月Harris评分、骨折愈合时间以及并发症发生情况。结果 PFN组患者手术时间、术中出血及骨折愈合时间显著低于DHS组及ADHLP组,结果比较差异有统计学意义(P<0.05)。三组患者术后12个月Harris评分与术后1个月、6个月评分比较差异有统计学意义(P<0.05)。PFN组患者术后并发症发生率显著低于另外两组,差异有统计学意义(P<0.05)。结论 PFN手术时间短、术中出血少、骨折愈合快且术后并发症较低,更加适用于高龄股骨转子间骨折的患者。Objective To investigate the effect of anatomical dynamic hip lock plate （ADHLP）, proximal femoral nail （PFN）, and dynamic hip screws （DHS） in the treatment of subtrochanteric femoral fractures in elderly pa- tients. Methods One hundred and four patients with subtrochantedc femoral fracture in our hospital were divided into three groups： the ADHLP group, the PFN group and the DHS group. The operation time, intraoperative bleeding, Harris score one month and 6, 12 months after surgery, the healing time and the complications were compared between the three groups. Results The operation time, intraoperative bleeding and fracture healing time in PFN group were signifi- cantly less than those in DHS and ADHLP group, P〈0.05. In the threee groups, Harris scores 12 months after surgery showed statistically significant difference with the scores 1 month and 6 months after surgery, P〈0.05. The incidence of complications in PFN group was significantly lower than that in the other two groups, P〈0.05. Conclusion PFN is pre- ferred for treating elderly patients with subtrochanteric femoral fracture than DHS and ADHLP, with shorter operation time, less intraoperative bleeding, faster fracture healing and lower complications.

关 键 词：股骨转子间骨折 重建钉 髋动力锁定钢板 动力髋钢板 

分 类 号：R683.42[医药卫生—骨科学]