髓内钉—螺旋刀片与动力髋螺钉治疗股骨粗隆间骨折疗效对比观察

The effect comparative observation of intramedullary nail-the spiral blade and the dynamic hip screw in intertrochanteric fracture of femur

目的观察髓内钉—螺旋刀片(PFNA)与动力髋螺钉(DHS)在股骨粗隆间骨折治疗中的疗效。方法将股骨粗隆间骨折患者45例分为PFNA组22例和DHS组23例。治疗后比较2组手术时间、术中出血量、术后引流量、住院时间、愈合时间、Parker髋关节功能评分。结果 PFNA组手术时间、住院时间均短于DHS组,术中出血量、术后引流量均少于DHS组,差异均有统计学意义(P<0.05)。结论 PFNA治疗股骨粗隆间骨折内固定可靠、创伤小,能提高疗效,减少手术并发症,允许早期功能锻炼,是治疗股骨粗隆间骨折较理想的内固定物。

Objective To observe the effect of intramedullary nail-the spiral blade （PFNA） and the dynamic hip screw（DHS） in intertrochanteric fracture of femur. Methods 45 cases patients with intertrochanteric fracture of femur were divided into PFNA group （ 22 cases） and DHS group （23 cases）. After treatment, compared operative time, intraoperative blood loss, postoperative drainage volume, length of stay, healing time, Parker hip score of two groups. Results The operative time, length of stay of PFNA group were shorter than those of DHS group, blood loss, postoperative drainage volume were less than those of DHS group, the difference were statistically significant （P 〈 0.05 ）. Conclusion PFNA in treatment of intertrochanteric fracture of femur,fixation reliable ,less invasive, can improve efficacy, reduce surgical complication, allowing early functional exercise,is an ideal fixation in treatment of intertrochanteric fracture of femur.