两种PFNA锁定技术在股骨粗隆间骨折中的疗效比较

    Comparison of two PFNA locking techniques in the treatment of intertrochanteric fractures of the femur

    • 摘要:
      目的探究两种股骨近端防旋髓内钉(PFNA)锁定技术在股骨粗隆间骨折中的治疗效果。
      方法选取股骨粗隆间骨折病人100例,其中PFNA远端锁钉为静态配合动态锁定50例为观察组,动态锁定50例为对照组,比较2组病人骨折愈合时间、术后并发症发生情况、术后12个月髋关节功能及病人满意度情况。
      结果2组病人均得到了12个月以上的有效随访,观察组骨折愈合时间明显短于对照组(P < 0.01);术后12个月髋关节功能评分94.00%,优于对照组68.00%(P < 0.05);病人总满意度50.00%,优于对照组的44.00%(P < 0.05);2组病人在骨折并发症发生率差异无统计学意义(P'>0.05)。
      结论PFNA远端静态配合动态锁定较单纯动态锁定方式治疗股骨粗隆间骨折,更能缩短骨折愈合时间,更好恢复髋关节功能。

       

      Abstract:
      ObjectiveTo explore the therapeutic effects of two types of proximal femoral nail antirotation (PFNA) locking techniques in intertrochanteric fractures of the femur.
      MethodsOne hundred cases of intertrochanteric fractures of the femur were selected, including 50 cases of PFNA distal locking treated with static and dynamic locking as the observation group, and 50 cases treated with dynamic locking as the control group.The fracture healing time, postoperative complications, hip joint function, and patient's satisfaction were compared between the two groups.
      ResultsBoth groups received effective follow-up for more than 12 months, and the fracture healing time in the observation group was shorter than that in the control group (P < 0.01);The hip joint function score at 12 months after surgery was 94.00%, which was superior to the control group by 68.00% (P < 0.05);the total patientt satisfaction was 50.00%, which was better than that of 44.00%the control group (P < 0.05);there was no statistically significant difference in the incidence of fracture complications between the two groups of patients (P>0.05).
      ConclusionsCompared with simple dynamic locking, PFNA static and dynamic distal locking can shorten the healing time of femoral intertrochanteric fracture and restore hip function better.

       

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