PFNA治疗老年股骨粗隆间骨折的效果分析
摘要：目的：探讨股骨近端防旋髓内钉（PFNA）治疗老年股骨粗隆间骨折（IFF）临床效果。方法：选取120例老年IFF患者，按照随机数字表法分为PFNA组和DHS组，每组各60例。PFNA组采用股骨近端防旋髓内钉（PFNA）治疗，DHS组采用动力髋螺钉（DHS）治疗。比较两组手术指标、髋关节功能、疼痛程度及并发症。结果：PFNA组切口长度、手术时间、住院时间及骨折愈合时间均短于DHS组（P＜0.05）;术后Harris评分高于DHS组，VAS评分低于DHS组（P＜0.05）;PFNA组并发症总发生率低于DHS组（P＜0.05）。结论：PFNA治疗老年股骨粗隆间骨折患者，手术创伤小、并发症少且疼痛轻微，患者术后髋关节功能恢复更好。
关键词：老年股骨粗隆间骨折;股骨近端防旋髓内钉;动力髋螺钉;
Effect of PFNA in the treatment of elderly patients with intertrochanteric fractures of femur①
HUANG Yanming,LIU Junping,DENG Alan.(Xinyu Beihu Hospital,Xinyu 338000,China)
Abstract Objective: To investigate the clinical effect of proximal femoral nail anti-rotation(PFNA) in the treatment of intertrochanteric fracture of femur( IFF) in elderly patients. Methods: A total of 120 elderly IFF patients were selected and randomized into PFNA and DHS group, with 60 cases in each group. PFNA group were treated with PFNA, while DHS group were treated with dynamic hip screw(DHS). Then, the operative indexes, hip joint function, pain degree and complications were compared between the two groups. Results: The incision length, operation time, hospital stays and fracture healing time in the PFNA group were shorter than those in DHS group(P<0.05); postoperative Harris score was higher than that of DHS group, while VAS score was lower than that of DHS group(P< 0.05); and the total incidence of complications was lower than that of the DHS group(P<0.05). Conclusion: For elderly patients with IFF, the treatment with PFNA will bring them fewer surgical complications and less pain, and they will have better postoperative hip function recovery.
Keywords:elderly intertrochanteric fracture of femur( IFF) patients; proximal femoral nail anti-rotation (PFNA); dynamic hip screw(DHS)
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