微创股骨近端防旋髓内钉与锁定钛板治疗老年股骨转子间骨折疗效分析  

Clinical analysis of proximal femoral anti-rotation intramedullary nail and locking titanium plate by minimal invasive in the treatment of intertrochanteric fracture of femur in the elderly

作　　者：金立夫[1] 任杰[1] 张志宏[1] JIN Lifu;REN Jie;ZHANG Zhihong(Minimally Invasive Orthopaedics,Jilin Integrated Traditional Chinese and Western Medicine Hospital,Jilin 132000,China)

机构地区：[1]吉林省吉林中西医结合医院微创骨科

出　　处：《中国医药科学》2019年第15期241-243,共3页China Medicine And Pharmacy

摘　　要：目的对比分析股骨近端锁定钛板(PFLCP)和股骨近端髓内钉(PFNA)治疗老年转子间骨折的临床疗效。方法回顾性分析2015年3月~2017年3月笔者所在医院微创骨科收治的老年性股骨转子间骨折患者79例,根据不同手术治疗方法分为PFNA组40例和PFLCP组39例。记录两组手术时间、术中出血量、骨折愈合时间、住院时间以及术后并发症情况。术后随访6个月,评估患者髋关节功能Harris评分。结果两组骨折愈合时间比较,差异无统计学意义(P>0.05);PFNA组手术时间、术中出血量及住院时间明显低于PFLCP组,差异有统计学意义(P<0.05)。术前两组Harris评分比较,差异无统计学意义(P>0.05),术后6个月两组Harris评分明显升高,且PFNA组Harris评分明显高于PFLCP组,差异有统计学意义(P<0.05)。PFNA组术后并发症发生率明显低于PFLCP组,差异有统计学意义(P<0.05)。结论PFNA与PFLCP均可有效治疗老年股骨转子间骨折,PFNA手术时间和住院时间更短、术中损伤更小,术后患者肢体功能恢复更好,并且术后并发症明显降低。Objective To compare and analyze the clinical effects of proximal femoral locking titanium plate(PFLCP) and proximal femoral intramedullary nail(PFNA) in the treatment of intertrochanteric fractures in the elderly. Methods Seventy-nine elderly patients with intertrochanteric fracture of femur admitted to Minimally Invasive Orthopaedics in our hospital from March 2015 to March 2017 were retrospectively analyzed. According to different surgical methods,all the patients were divided into PFNA group(40 cases) and PFLP group(39 cases).The operation time,intraoperative blood loss,fracture healing time,hospitalization time and postoperative complications were recorded in two groups.The patients were followed up for 6 months to evaluate the Harris score of hip function. Results There was no statistical difference in the fracture healing time between the two groups(P > 0.05).The operation time,intraoperative blood loss and hospitalization time in PFNA group were significantly lower than those in PFLCP group(P < 0.05).There was no significant difference in Harris score between the two groups before operation(P > 0.05).The Harris score in the two groups increased significantly 6 months after operation,and Harris score in the PFNA group was significantly higher than that in the PFLCP group(P < 0.05).The incidence of postoperative complications in PFNA group was significantly lower than that in PFLCP group(P < 0.05). Conclusion PFNA and PFLCP can effectively treat intertrochanteric fracture of femur in the elderly.PFNA has shorter operation time and hospitalization time,less injury during operation,better recovery of limb function and lower complications after operation.

关 键 词：股骨转子间骨折 股骨近端防旋髓内钉 股骨近端锁定钛板 

分 类 号：R687.4[医药卫生—骨科学]