PFNA和关节置换治疗高龄不稳定型转子间骨折的疗效  

PFNA and Joint Replacement in the Treatment of Unstable Intertrochanteric Fractures in Elderly Patients

作　　者：吴雪松 WU Xuesong(Department of Orthopedics,Xiangzhou District People's Hospital,Xiangyang Hubei 441000,China)

机构地区：[1]湖北省襄阳市襄州区人民医院骨科,湖北襄阳441000

出　　处：《中国继续医学教育》2019年第13期113-115,共3页China Continuing Medical Education

摘　　要：目的探究股骨近端防旋髓内钉内固定术(PFNA内固定术)与关节置换术治疗高龄不稳定型转子间骨折的疗效。方法选取我院2016年1月—2017年9月收治的高龄不稳定型转子间骨折患者102例为对象,根据手术方法分入PFNA组和关节置换组,对比两组患者的围手术期指标、术后髋关节功能评分等。结果两组手术时间对比差异无统计学意义,P> 0.05,PFNA组术中出血量少于关节置换组,P <0.05;但PFNA组的术后卧床时间、术后住院时间均长于关节置换组,且术后1年Harris评分高于对照组,P <0.05。结论 PFNA内固定术与关节置换术在高龄不稳定型转子间骨折治疗中各有优缺点,临床医师应结合患者的病情特点选择适宜手术。Objective To investigate the efficacy of PFNA and joint replacement in the treatment of unstable intertrochanteric fractures in the elderly.Methods 102 elderly patients with unstable intertrochanteric fractures admitted to our hospital from January 2016 to September 2017 were divided into PFNA group and arthroplasty group according to the surgical methods.The perioperative indexes and postoperative hip function scores of the two groups were compared.Results There was no significant difference in the operation time between the two groups,P>0.05.The amount of bleeding in PFNA group was less than that in joint replacement group,P<0.05,but the postoperative bedridden time and postoperative hospitalization time in PFNA group were longer than that in joint replacement group,and the Harris score was higher than that in control group one year after operation,P<0.05.Conclusion PFNA internal fixation and joint replacement have their own advantages and disadvantages in the treatment of unstable intertrochanteric fractures in the elderly.Clinicians should select the appropriate operation according to the patient's condition.

关 键 词：PFNA 关节置换 高龄患者 不稳定型转子间骨折 髋关节功能 手术创伤 

分 类 号：R687[医药卫生—骨科学]