3种内固定治疗股骨转子间骨折的疗效分析

    Comparison of three different kinds of internal fixations for treatment of intertrochanteric fractures

    • 摘要: 目的:观察比较锁定加压钢板(LCP)、髋动力钢板(DHS)及股骨近端髓内钉(PFN)内固定治疗股骨转子间骨折的临床疗效。方法:对采用LCP、DHS及PFN内固定治疗并获随访的80例单侧股骨转子间骨折患者的临床资料进行回顾性分析,比较3种方法的手术时间、切口总长度、术中出血量、骨折愈合时间、术后并发症发生率以及功能改善方面的差异。结果:3种方法的手术时间、切口总长度、术中出血量及骨折愈合时间差异均有统计学意义(P < 0.01);术后并发症发生率差异无统计学意义(P > 0.05);LCP组功能优良率优于DHS组,但3组差异无统计学意义(P > 0.05)。结论:3种内固定均是治疗股骨转子间骨折的有效方法,但LCP组手术用时较短、切口最小、术中出血较少、骨折愈合时间最短,且术后功能良好,是治疗股骨转子间骨折的较好方法。

       

      Abstract: Objective: To analyze the clinical effect of three different kinds of internal fixations in treatment of the femoral intertrochanteric fracture. Methods: The clinical data of 80 patients with the femoral intertrochanteric fracture having been treated with the procedure of locking compression plate (LCP), dynamic hip screw (DHS), or proximal femoral nail (PFN) were analyzed retrospectively. The mean operation time,cut length,blood loss,healing time,incidence of the complication and rate of excellent and good results of the three groups were compared and analyzed. Results: There were statistical differences in the mean operation time,cut length,blood loss and healing time among the three groups (P < 0.01). The incidence of complications showed no statistical difference among the three groups (P > 0.05). As to the rate of excellent and good results, LCP group were superior to DHS group, but the difference was not significant among the three groups (P > 0.05). Conclusions: All the three procedures are effective. However,LCP fixation takes less operation time,less healing time,causes less surgical trauma and demonstrates better recovery than the other two groups in treatment of the intertrochanteric fracture.

       

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