防旋型股骨近端髓内钉在不稳定型股骨粗隆间骨折中的应用效果研究  

Clinical effect of proximal femoral nail anti-rotation treating unstable femoral intertrochanteric fracture

作　　者：戚卫 QI Wei(The People＇s Hospital of Jiawang District of Xuzhou City, Jiangsu 221011)

机构地区：[1]江苏省徐州市贾汪区人民医院,江苏徐州221011

出　　处：《中国伤残医学》2017年第20期5-7,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：研究防旋型股骨近端髓内钉在不稳定型股骨粗隆间骨折中的临床效果.方法：回顾分析本院2013年12月-2016年11月收治的82例不稳定型股骨间粗隆骨折患者.其中,50例患者选择了防旋型股骨近端髓内钉系统治疗;32例患者选择了股骨近端解剖型锁定钢板.比较2组患者手术时间、术中出血量、手术口长度、术后开始负重站立行走时间以及骨折愈合时间和Harris评分.结果：防旋型股骨近端髓内钉系统患者无论是手术时间、术中出血量、手术口长度,还是术后开始负重站立行走时间均要少于股骨近端解剖型锁定钢板组.不过2组患者Harris评分没有明显差别.结论：2种方法都适用于治疗不稳定性股骨粗隆间骨折,不过防旋型股骨近端髓内钉具有更大的优势.Objective： To investigate the clinical effect of proximal femoral nail anti - rotation treating unstable femoral intertrochanter- ic fracture. Methods： 82 cases of patients with unstable femoral intertroehanteric fracture were retrospective analyzed from December 2013 to November 2016 in our hospital. 50 cases were treated with PFNA and 32 cases with ALP. The operation time, amount of bleeding, in- cision length, postoperative weight - bearing standing time, fracture healing time and Harris score and efficacy 1 year after the operation were analyzed. Results： Not only operation time, amount of bleeding, incision length, but also postoperative weight - bearing standing time in PFNA group were low than group of ALP （ P 〈 0.05 ）. However, there was no significant difference of Harris socre in two groups. Conclusion：The two ways of treating unstable femoral intertrochanterie fractures were effective and PFNA has some advantages.

关 键 词：不稳定型股骨粗隆间骨折 防旋股骨近端髓内钉 股骨近端解剖型锁定钢板 

分 类 号：R683.42[医药卫生—骨科学]