股骨近端髓内钉与动力髋螺钉在股骨粗隆间骨折治疗中的对比分析

The effect comparsion of modified proximal femoral nail antirotation with dynamic hip screw in the treatment of femoral trochanter fractures

摘要: 目的:评价股骨近端髓内钉(PFNA)与动力髋螺钉(DHS)在股骨粗隆间骨折治疗中的疗效。方法:将应用PFNA(29例,PFNA组)与DHS(36例,DHS组)治疗的65例股骨粗隆间骨折患者术中、术后并发症以及术后髋关节功能的恢复进行比较分析。结果:PFNA组手术时间和下地时间均短于DHS组(P0.01),术中出血量少于DHS组(P0.01),2组骨折愈合时间和关节功能HaRRis评分优秀率差异均无统计学意义(P0.05)。结论:PFNA操作简单、创伤小、失血少、骨折固定牢固,术后患者可早期离床负重,是一种治疗股骨粗隆间骨折的理想方法。

Abstract: Objective:To compare the clinical effects of proximal femoral nail antirotation(PFNA) with dynamic hip screw(DHS) in the treatment of femoral trochanter fractures.Methods:Intraoperative and postoperative complications and postoperative hip joint function recovery of 29 cases treated with PFNA(PFNA group) and 36 cases treated with DHS(DHS group) were analyzed.Results:Compared with DHS group,the time of operation and ambulation and intraoperative bleeding in PFNA group were less(P 0.01).The differences of the healing time of fracture and excellent rate of Harris score in two group were not statistically significant(P 0.05).Conclusions:PFNA is easy operating,less trauma and bleeding and tight fixation.Postoperative patients can early ambulate.PFNA is a ideal means for treating femoral trochanter fractures.