PFNA内固定与人工关节置换治疗高龄患者不稳定型股骨粗隆间骨折疗效的对比分析  

作　　者：吴飞雁[1] 刘彬[1] 

机构地区：[1]四川省彭州市人民医院骨科,611930

出　　处：《湖南中医药大学学报》2018年第A01期722-723,共2页Journal of Hunan University of Chinese Medicine

摘　　要：目的:探讨分析PFNA内固定与人工关节置换治疗高龄患者不稳定型股骨粗隆间骨折的临床效果。方法:以2014年至2016年接受治疗的60例高龄不稳定型股骨粗隆间骨折患者作为主要的观察目标,采用随机法分成甲组,乙组各30例。一组患者采用PFNA内固定进行治疗标为甲组,另一组患者采用人工关节置换进行治疗则为乙组,比较两组患者临床效果,以及术后并发症发生的情况。结果:甲组患者的总有效率是96.6%,乙组患者的总有效率是90%,相比无显著差异(P>0.05);甲组患者并发症的发生情况明显低于乙组,两组患者的情况比较存在明显的差异,具有统计学意义,(P<0.05)。结论:PFNA内固定与人工关节置换术均为股骨粗隆间骨折治疗中较为有效的治疗方法,两种治疗方法各有优点和缺点,要根据患者的实际情况进行选择。Objective:To investigate the clinical effect of PFNA internal fixation and artificial joint replacement in the treatment of unstable femoral intertrochanteric fractures in elderly patients.Methods:Sixty elderly patients with unstable intertrochanteric fractures treated from 2014 to 2016 were selected as the primary target and randomly divided into group A and group B(30 cases each).A group of patients treated with PFNA internal fixation for the treatment of Group A,another group of patients treated with artificial joint replacement is Group B,the clinical efficacy of two groups were compared,as well as postoperative complications.Results:The total effective rate was 96.6%in group A and 90%in group B,with no significant difference(P>0.05).The incidence of complications in group A was significantly lower than that in group B There were significant differences between the groups of patients,with statistical significance(P<0.05).Conclusion:Both PFNA internal fixation and artificial joint replacement are effective treatment for intertrochanteric fractures.The two methods have their own advantages and disadvantages,and they should be selected according to the actual situation of the patients.

关 键 词：PFNA内固定 人工关节置换 不稳定型股骨粗隆间骨折 

分 类 号：R683.42[医药卫生—骨科学]