股骨近端髓内钉治疗老年股骨粗隆间骨折的疗效

The Curative Effect of Proximal Femoral Nail for the Treatment of Intertrochanteric Fractures of Femur in Elder

目的比较股骨近端髓内钉(PFN)与动力髋螺钉(DHS)治疗老年股骨粗隆间骨折的疗效。方法回顾性分析股骨近端髓内钉(PFN组,42例)和动力髋螺钉(DHS组,38例)治疗老年股骨粗隆间骨折的临床资料。结果两组患者手术均成功,PFN组在手术时间、术中出血量、术后引流量和骨折愈合时间上明显优于DHS组(P<0.05)。PFN组术后疗效明显优于DHS组(χ2=5.39,P<0.05)。PFN组术后并发症的发生率明显低于DHS组(χ2=3.90,P<0.05)。结论 PFN及DHS均是治疗老年股骨粗隆间骨折的有效方法,前者手术时间短、术中出血量少、骨折愈合快、术后疗效更佳,并发症少,特别适合于不稳定股骨粗隆间骨折。

Objective To compare the curative effect of proximal femoral nail （ PFN ） and dynamic hip screw （ DHS ） for the treatment of intertrochanteric fractures of femur in elder. Methods Analysised the clinic datas of the intertroehanterie fractures of femur in elder being treated by the PFN （ PFN gourp,42 cases ） and DHS （ DHS group,38 cases ） retrospectively. Results All operations were successful. The PFN group made a significant better performance comparing with DHS group in the operation time, blood loss during the operation, postoperative drainage volume and time of fracture concrescence （P 〈 0.05 ）, and also in the curative effect （ Х^2=5.39, P 〈 0.05 ）, and the incidence rate of postoperative complication （ Х^2=3.90, P 〈 0.05 ）. Conclusion Both PFN and DHS are effective methods for the treatment of intertrochanteric fractures of femur in elder. The PFN is especially suitable for the treatment of unstable femoral intertrochanteric fractures because of its short operation time, little blood loss during the opeartion, quickly fracture concrescence, excellent postopeartive clinic effect and low complication.