锁定板PFN及DCS治疗老年不稳定性股骨粗隆间骨折效果比较  

A Comparison Study of Lockplate PFN and DCS Treatment on Elderly Instability Intertrochanteric Fractures

作　　者：安宁[1] 刘康[1] 何智勇[1] 陈尔东[1] 余新平[1] 

机构地区：[1]广东省中山市人民医院骨一科,广东中山528403

出　　处：《河北医学》2013年第10期1472-1474,共3页Hebei Medicine

摘　　要：目的:探讨锁定板、PFN及DCS治疗老年不稳定性股骨粗隆间骨折临床疗效差异。方法:204例老年不稳定性股骨粗隆间骨折患者为研究对象,运用随机数字表法将其分为锁定板治疗组、PFN治疗组及DCS治疗组,对三组患者分别进行相应手术治疗后,采用髋关节功能Harris评分系统评定三组患者手术后的临床疗效。结果:DCS治疗组手术时间明显长于锁定板治疗组及PFN治疗组,差异有统计学意义(P<0.05);DCS治疗组术中出血明显多于锁定板治疗组,差异有统计学意义(P<0.05);DCS治疗组髋关节评分明显低于锁定板治疗组及PFN治疗组(P<0.05)。结论:锁定板及股骨近端髓内钉治疗老年不稳定性股骨粗隆间骨折患者所需手术时间短、术中出血较少、术后髋关节功能恢复较好,是治疗不稳定性股骨粗隆间骨折的安全、有效的方法,值得在临床中推广应用。Objective： To evaluate the clinical efficacy of elderly instability intertrochanteric fractures by treatment with lockplate,proximal femoral nail and dynamic condylar screw.Method： Two hundred and four patients who were diagnosed with instability intertrochanteric fractures were divided into lockplate group,proximal femoral nail group and dynamic condylar screw group by using a random number table.The patients were performed with lockplate,proximal femoral nail and dynamic condylar screw,respectively.The clinical efficacy were evaluated according to the harris score system.Result： Dynamic condylar screw group were more than the other groups in operation time（P0.05）,the blood loss of dynamic condylar screw group were higher than lockplate group（P0.05）,the harris score of dynamic condylar screw group were lower than the other groups（P 0.05）.Conclusion： Lockplate,proximal femoral nail is a safe and effective method with good clinical efficacy in treatment of instability intertrochanteric fractures in elder patients,which can decrease operation time,blood loss as well as better functional recovery of hip,it is worthy of clinical application.

关 键 词：股骨粗隆间骨折 锁定板 股骨近端髓内钉 动力髁髓钉 

分 类 号：R687.3[医药卫生—骨科学]