INTER-tan与PFNA内固定治疗老年股骨粗隆间骨折的疗效及安全性分析  

Analysis on efficacy and safety of INTER-tan and PFNA internal fixation in treating elderly femoral intertrochanteric fractures

作　　者：宋矿朋[1] 刘向林 马超[1] SONG Kuangpeng;LIU Xianglin;MA Chao(Second Department of Joint and Orthopedics,Hengshui Municipal Fourth People′s Hospital,hengshui,Hebei 053000,China)

机构地区：[1]河北省衡水市第四人民医院关节骨二科,053000

出　　处：《重庆医学》2021年第14期2485-2488,共4页Chongqing medicine

基　　金：河北省衡水市科技计划项目(2019014007Z)。

摘　　要：目的分析联合拉力交锁髓内钉系统(INTER-tan)与股骨近端抗旋髓内钉(PFNA)内固定治疗老年股骨粗隆间骨折的疗效及安全性。方法选取该院骨科2017-2019年诊治的96例老年股骨粗隆间骨折患者,根据不同内固定方式分为A组与B组,每组48例。A组应用INTER-tan内固定治疗。B组应用PFNA内固定治疗,对比两组手术指标、髋关节功能、临床疗效、康复指标及并发症发生率。结果B组的手术时间、出血量、住院时间均少于A组(P<0.05);两组术后的Harris评分均随时间增加而增加(P<0.05),组间与时点间有交互效应;两组临床疗效的优良率相近(P>0.05);A组开始负重时间、去拐时间、骨折愈合时间均短于B组(P<0.05);A组的并发症发生率低于B组(P<0.05)。结论INTER-tan与PFNA治疗老年股骨粗隆间骨折的临床疗效均显著,但二者各具优缺点,INTER-tan术后康复快,且并发症发生率低,PFNA则手术时间短、出血量少、住院时间短。Objective To analyze the efficacy and safety of internal fixation with INTER-tan and PFNA internal fixation in the treatment of elderly femoral intertrochanteric fracture.Methods Ninety-six cases of elderly femoral intertrochanteric fracture in this hospital from January 2017 to December 2019 were selected and divided into the group A and B according to different internal fixation modes,48 cases in each group.The group A adopted the INTER-tan internal fixation,and the group B was treated with the PFNA internal fixation.The operation indexes,hip function,clinical efficacy,rehabilitation indexes and incidence rate of complications were compared between the two groups.Results The operation time,blood loss volume and hospitalization time in the group B all were less than those in the group A(P<0.05);the postoperative Harris scores of the two groups all showed the change trend with the time(P<0.05),and there was the interaction effect between the groups and time points;the excellent and good rate of clinical efficacy of the two groups were similar(P>0.05);the starting time of weight-bearing,time of removing crutches and fracture healing time in the group A were shorter than those in the group B(P<0.05);the complications occurrence rate of the group A was lower than that of the group B(P<0.05).Conclusion INTER-tan and PFNA internal fixation are effective in the treatment of senile femoral intertrochanteric fracture,but the both have their own advantages and disadvantages.The postoperative recovery of INTER-tan is fast,moreover the incidence rate of complications is low.PFNA has the advantages of short operation time,less blood loss volume and short hospital stay.

关 键 词：INTER-tan PFNA 内固定 股骨粗隆间骨折 疗效 安全性 

分 类 号：R683.1[医药卫生—骨科学]