Fixion PF和PFN治疗老年骨质疏松股骨转子间骨折的临床效果比较  

The Comparation of Curing Osteoporotic Intertrochanteric Fracture by Fixion PF and PFN

作　　者：隋天棋 袁志[1] 段春光[1] 李岩[1] 郝旭光[1] 强毅[1] 

机构地区：[1]第四军医大学西京医院骨科,陕西西安710032

出　　处：《现代生物医学进展》2015年第22期4287-4290,共4页Progress in Modern Biomedicine

基　　金：国家高技术研究发展计划项目(2012AA020502-6)

摘　　要：目的:比较可膨胀髓内钉(Fixion PF)与股骨近端髓内钉(PFN)联合双磷酸盐治疗老年骨质疏松股骨转子周围骨折临床效果及安全性。方法:选择我院收治的47例老年骨质疏松股骨转子间骨折患者并将其随机分为两组:对照组应用PFN治疗,观察组应用Fixion PF治疗,术后两组患者均接受双磷酸盐抗骨质疏松治疗,比较两组的Harris评分、骨折愈合时间、手术时间、术中出血、切口长度、术后严重并发症的发生情况。结果:两组的Harris评分、骨折平均愈合时间以及严重并发症的发生率比较均无统计学差异(P均>0.05),但Fixion PF组的手术时间较PFN组显著缩短,术中出血明显减少,切口长度显著下降,差异均有统计学意义(P<0.05)。结论:Fixion PF联合双磷酸盐抗骨质疏松治疗对老年骨质疏松股骨转子间骨折的临床效果优于PFN联合双磷酸盐抗骨质疏松治疗。Objective： To compare the effects and safety of Fixion PF and PFN in the treatment of osteoporotic intertrochanteric fractures, Methods： From Marth 2013 to May 2014, forty-seven patients with intertrochanteric fractures were randomly divided into the observation group and the control group and followed up for one year. They were given anti-osteoporosis therapy after the surgery. According to Evans classification, there were 4 cases of type I fracture, 5 cases of type II fi＇acture,9 of type Ill fracture, 5 of type IV fi＇acture in the control group, there were 3 cases of type I fracture, 7 cases of type U fracture, 6 of type III fracture, 8 of type 1V fracture in the observation group. The patients of control group were treated with PFN, the patients of observation group were treated with Fixion PF. The harris score aider operation and the surgery-related data were recorded and compared between two groups. Results： The mean operating time of control group was 87.6＋ 25 min and the mean blood loss was 180＋ 30 mL. The mean operating time of observation group was 69.5＋ 15 min and the mean blood loss was 117＋ 20 mL. There was no significant difference between two groups in the Harris score, healing time, incidence of surgical complications （P〉0.05）. The operation time, surgical bleeding, length of incision of observation group were better than those of the control group （P〈0.05）. Conclusions： Fixion PF combined with anti-osteoporosis therapy by bisphosphonates had advantages of less bleeding and shorter operation time in the treatment of osteoporotic intertrochanteric fractures than PFN combined with bisphosphonates.

关 键 词：老年骨质疏松 可膨胀髓内钉 股骨转子间骨折 

分 类 号：R683[医药卫生—骨科学]