股骨近端防旋髓内钉和股骨近端解剖锁定钢板治疗股骨转子间骨折的疗效比较  

Comparison of Proximal Femoral Nail Antirotation and Anatomic Proximal Femoral Locking Plate in the Treatment of Intertrochanteric Fractures

作　　者：李勇[1] 蔡林[2] 李彬彬[1] 李治锋[1] 魏杰[1] 龚泰芳[1] 

机构地区：[1]十堰市太和医院.湖北医药学院附属医院骨关节科,湖北十堰442000 [2]武汉大学中南医院骨科,湖北武汉430071

出　　处：《湖北医药学院学报》2017年第1期36-39,44,共5页Journal of Hubei University of Medicine

摘　　要：目的:比较股骨近端防旋髓内钉(proximal femoral nail anti-rotation,PFNA)与股骨近端解剖锁定钢板(anatomic proximal femoral locking plate,ALP)治疗股骨转子间骨折的临床疗效。方法:选取本院2011年1月-2015年1月采用股骨近端防旋髓内钉(A组)、解剖锁定钢板(B组)2种手术固定方式治疗股骨转子间骨折共158例进行回顾性分析。比较两组手术时间、术中出血量、切口长度、术后引流量、骨性愈合时间、术后功能(Harris评分)及并发症方面的差异。结果:158例患者获得随访6~36个月,平均23.6个月。两组手术时间、术中出血量、切口长度、术后引流量差异均有统计学意义(P<0.05),A组优于B组;两组在骨性愈合时间、术后功能(Harris评分)及并发症方面差异无统计学意义(P>0.05)。结论:治疗股骨转子间骨折,PFNA与解剖锁定钢板均能取得良好的临床疗效,但前者较后者更有优势,可作为优先选择的治疗方法。Objective To compare the clinical outcomes between PFNA and anatomic proximal femoral locking plate for the treatment of intertrochanteric fractures. Methods A retrospective study was conducted on 158 patients with intertrochanteric fracture treated with PFNA and anatomic proximal femoral locking plate in Taihe Hospital from January 2011 to January2015. The operation time,intraoperative blood loss,incision length,postoperative drainage,fracture healing time,postoperative harris hip score and complication rate were compared by statistical analysis. Results All patients were followed up for 23.6 months on average（6 ~ 36 months）. All comparisons of the operative time,the intraoperative blood loss,the incision length and the postoperative drainage of the two groups were significantly different（P〈0. 05）,and the group A was better than group B. In fracture healing time,postoperative harris hip score and complication rate,there was no significant difference（P〉0.05） between the two groups. Conclusion For treating intertrochanteric fractures,both PFNA and anatomic proximal femoral locking plate can achieve better clinical outcome,but the former has the advantages in the treatment of intertrochanteric fractures and can be used as a preferred treatment.

关 键 词：股骨转子间骨折 股骨近端防旋髓内钉 解剖锁定钢板 

分 类 号：R687.3[医药卫生—骨科学]