中医正骨手法结合PFNA内固定治疗老年股骨粗隆间骨折的效果观察  

Observation on efficacy of manipulation of bone-setting plus PFNA internal fixation on intertrochanteric fractures in the elderly

作　　者：焦建 武祥仁[1] 冯彬[1] Jiao Jian

机构地区：[1]江苏省盱眙县中医院

出　　处：《中医临床研究》2019年第25期65-67,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨老年股骨粗隆间骨折采用中医正骨手法联合新型股骨近端内固定系统(PFNA内固定)治疗的效果与安全性。方法:择取2016年1月-2018年11月我院骨科就诊的40例老年股骨粗隆间骨折患者,分为实验组(中医手法复位联合PFNA内固定手术,20例)和对照组(常规PFNA内固定手术,20例),对比观察两组手术指标及康复情况,评价髋关节功能术后恢复情况,统计并发症。结果:实验组手术时间为(63.1±8.5)mins,术中出血量为(145.0±28.1)mins,切开复位率为0%,骨折愈合时间为(13.5±1.1)周,关节功能优良率为95.0%,各项指标均优于对照组(P<0.05);两组负重时间、术后住院时间、并发症等无统计学差异(P>0.05)。结论:中医正骨手法复位效果理想,能有效减少股骨粗隆间骨折切开复位,结合PFNA内固定使用能缩短手术时间、减少出血,促进关节功能恢复及早期康复,应用安全有效,值得临床推广。Objective: To investigate the efficacy of manipulation of bone-setting plus PFNA internal fixation on intertrochanteric fractures in the elderly. Methods: 40 patients were divided into the experimental group ( received manipulation of bone-setting plus PFNA internal fixation, 20 cases) and the control group (received PFNA internal fixation, 20 cases). Results: The operation time, intraoperative blood loss, open reduction rate, fracture healing time and excellent joint function rate in the experimental group were better than those in the control group (P<0.05). There was no significant difference in weight-bearing time, postoperative hospital stay, and complications between the two groups (P>0.05). Conclusion: Manipulation of bone-setting plus PFNA internal fixation was effective, and is worthy of clinical promotion.

关 键 词：老年股骨粗隆间骨折 中医正骨手法 PFNA内固定 疗效 安全性 

分 类 号：R274.12[医药卫生—中医骨伤科学]