组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2019, Vol. 15 ›› Issue (5): 345-348.doi: 10.3969/j.issn.1673-0364.2019.05.009

• 论著 • 上一篇    下一篇

PFNA 与DHS+空心钉内固定治疗老年股骨粗隆间骨折的疗效观察

郑勇，史法见，赵晓龙，王芳   

  1. 南京江北人民医院骨科
  • 收稿日期:2019-07-23 修回日期:2019-08-30 出版日期:2019-10-20 发布日期:2019-10-20

Internal Fixation with PFNA and DHS +Cannulated Screw on Intertrochanteric Fractures in the Elderly

ZHENG Yong,SHI Fajian,ZHAO Xiaolong,WANG Fang   

  1. Department of Orthopaedics, Nanjing Jiangbei People’s Hospital
  • Received:2019-07-23 Revised:2019-08-30 Online:2019-10-20 Published:2019-10-20

摘要： 目的比较PFNA与DHS+空心钉内固定方法治疗老年患者股骨粗隆间骨折的疗效。方法采用回顾性研究,纳入2014年1月至2018年3月手术治疗的老年股骨粗隆间骨折患者64例。其中,采用PFNA内固定方法(PFNA组)治疗的24例,DHS联合空心钉内固定方法(DHS+空心钉组)治疗的40例。比较两组患者手术时长、术中出血量、术后并发症情况、骨折愈合时间以及最后一次有记录的髋关节Harris评分。结果 PFNA组较DHS+空心钉组手术时间短短,术中出血少,术后并发症发生率低(P<0.01);且PFNA组骨折愈合快,术后Harris评分高(P<0.01)。结论对于股骨粗隆间骨折的老年患者,与DHS联合空心钉内固定相比,PFNA内固定疗效更好,并发症较少,值得临床推广应用。

关键词: 股骨近端防旋髓内钉, 动力髋螺钉联合空心钉, 老年, 股骨粗隆间骨折

Abstract: Objective To compare the efficacy of internal fixation with PFNA and DHS +cannulated screw in the treatment of intertrochanteric fractures in the elderly. Methods A retrospective study was conducted to enroll patients with intertrochanteric fractures in the elderly from January 2014 to March 2018. Finally, 64 patients were included, including 24 patients treated with PFNA fixation(PFNA group), and 40 patients treated with DHS combined with cannulated screw(DHS+cannulated screw group). The duration of surgery, intraoperative blood loss, postoperative complications, fracture healing time and the last recorded hip Harris score were recorded. Results Compared with DHS+cannulated screw group, PFNA group had shorter duration of surgery, less intraoperative blood loss and lower postoperative complications(P <0.01). Moreover,fracture healing in the PFNA group was faster than that in the DHS +cannulated screw group, and the last recorded Harris score was higher(P<0.01). Conclusion For elderly patients with intertrochanteric fractures, internal fixation with PFNA has better efficacy and fewer complications than internal fixation with DHS combined with cannulated screw, and is worthy of clinical promotion.

Key words: PFNA, DHS combined with cannulated screw, Elderly, Intertrochanteric fracture

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