近端防旋髓内钉与近端锁定钢板治疗老年股骨转子间不稳定骨折的疗效对比分析  

Elderly Unstable Intertrochanteric Fracture:Comparison of Effect between Proximal Femoral Nail Anti-rotation and Proximal Femoral Locking Plate

作　　者：李群[1] 吴守群[1] 陈优民[1] 周建宏[1] 吴富华[1] 丁祖运 付明辉[1] 曾四宝[1] 成昌桂 

机构地区：[1]东南大学附属中大医院溧水分院/南京市溧水区人民医院骨科,江苏南京211200

出　　处：《现代生物医学进展》2016年第21期4131-4133,共3页Progress in Modern Biomedicine

摘　　要：目的:分析对比股骨近端防旋髓内钉(PFNA)与股骨近端锁定钢板(PFLP)治疗老年股骨转子间不稳定骨折的临床疗效。方法:回顾性分析我院骨外科2009年4月至2013年4月收治的老年股骨转子间不稳定骨折患者90例,根据患者手术方式的不同,将其分为PFNA组及PFLP组,各45例。对比分析两组患者术中出血量、手术持续时间及骨折愈合时间术后髋关节功能及内固定并发症情况。结果:PFNA组髋关节功能Harris评分优良率91.11%明显高于PFLP组的71.11%(P<0.05);PFNA组比PFLP组骨折愈合时间短、内固定并发症少,比较差异有统计学意义(P<0.05)。结论:应用PFNA治疗老年股骨转子间不稳定骨折患者具有骨折愈合时间短、髋关节功能恢复好、术后内固定并发症少的特点,治疗效果较PFLP更满意。Objective： To compare and analyze the clinical effect of proximal femoral nail anti-rotation（PFNA） and proximal femoral locking plate（PFLP） in the treatment of elderly unstable intertrochanteric fracture. Methods： A total of 90 elderly patients with unstable intertrochanteric fracture, who were admitted to Lishui branch of Zhongda Hospital Affiliated to Southeast University from April2009 to April 2013, were divided into PFNA group（n=45） and PFLP group（n=45） according to the corresponding operation method. The intraoperative blood loss, operation time and fracture healing time, postoperative hip joint function status and internal fixation complications of the two groups were compared and analyzed. Results： Excellent and good rate（91.11%） of Harris score for hip joint function in PFNA group was higher than that（71.11%） in PFLP group（P〈0.05）. Compared with PFLP group, the fracture healing time was shorter and postoperative internal fixation complications was less in PFNA group, the differences were statistically significant（P〈0.05）. Conclusion：Using PFNA to treat the elderly patients with unstable intertrochanteric fracture has the advantages of shorter fracture healing time, better recovery of hip joint function, less postoperative internal fixation complications, which has a better effect compared with PFLP.

关 键 词：髓内 老年 骨折固定术 不稳定 股骨转子间 骨折 

分 类 号：R683[医药卫生—骨科学]