老年股骨粗隆间骨折的手术治疗:应用DHS与PFNA的疗效比较  

Intertrochanteric femoral fractures: a comparison between DHS and PFNA in efficacy

作　　者：屈波[1] 伍红桦[1] 邓少林[1] 范凌[1] 蒋凯[1] 潘显明[1] 

机构地区：[1]成都军区总医院骨科,成都610083

出　　处：《军事医学》2014年第1期67-69,共3页Military Medical Sciences

摘　　要：目的对动力髋螺钉（dynamichipserew，DHS）内固定和防旋型股骨近端髓内钉（proximalfemoralnailan．tirotation，PFNA）内固定治疗股骨粗隆间骨折的疗效及术后并发症进行对比研究。方法对107例股骨粗隆间骨折患者分别给予DHS和PFNA内固定术，并对患者的骨折类型、术后并发症和总体疗效进行比较。结果两组随访平均28个月（24～36个月）。DHS组术后并发症总发生率显著高于PFNA组，差异具有统计学意义（P〈0．05）。结论对于股骨粗隆间骨折的患者，PFNA内固定术具有更好的疗效和更少的术后并发症，但仍需依据骨折类型、骨质疏松情况及内固定生物力学特点选择术式，重视患者术后功能康复锻炼。Objective To compare DHS（ dynamic hip screw ）with PFNA（ proximal femoral nail antirotation） treatment for intertroehanteric fractures and to analyze their postoperative complications. Methods A total of 107 patients with inter- troehanteric fractures were treated with DHS and PFNA fixation respectively. The type of fracture, postoperative complica- tions and overall efficacy were compared. Results After the follow-up of 28 （24 to 36） months. DHS group had a higher overall incidence of postoperative complications than the PFNA group and the difference was statistically significant （ P 〈 O, 05）. Conclusion In order to reduce the intertrochanteric fracture fixation complications, the type of fracture, osteoporo- sis and biomechanical fixation characteristics need to be considered when selecting surgical procedures. Postoperative func- tional rehabilitation is to be improved. The curative effect of PFNA is better than that of DHS,

关 键 词：股骨粗隆间骨折 动力髋螺钉 防旋型股骨近端髓内钉 骨折固定术 内 骨折固定术 髓内 

分 类 号：R687.3[医药卫生—骨科学]