PFNA与解剖锁定钢板治疗不稳定性股骨粗隆间骨折的疗效分析

The Analysis of PFNA and Proximal Femur Anatomy of Locking Plate Operation on the Unstable Intertrochanteric Fracture of the Femur

目的比较股骨近端防旋髓内针(proximal femoral nail antirotation,PFNA)与股骨近端解剖锁定钢板治疗不稳定性股骨粗隆间骨折的疗效。方法 96例不稳定性股骨粗隆间骨折患者中男55例,女41例,年龄25～84岁,平均62岁。采用PFNA治疗42例,股骨近端解剖锁定钢板治疗54例。结果本组均获随访,随访时间9～34个月,平均19个月。两组患者中,手术时间、术中出血量及术后并发症比较有统计学意义(P<0.05),而骨折愈合时间及髋关节功能比较无统计学意义(P>0.05)。结论在不稳定性股骨粗隆间骨折的治疗中,PFNA具有手术时间短、出血少、术后并发症少及操作简便、固定牢固的优点,是较为理想的内固定材料。

Objective To compare PFNA with anatomical proximal femur locking plates in treatment of unstable intertrochanteric fracture of femur.Methods There were 96 patients with unstable intertrochanteric fracture of the femur,with PFNA on 42 cases and locking anatomical plate in treatment of 54 cases of proximal femur.The patients were followed up for 9～34 months（19 months on average）.Results There was statistical significant in operation time,blood loss and complications（〈P0.05） between the two group.Conclusion In the treatment of unstable intertrochanteric fracture of the femur,PFNA has a shorter operation time,less bleeding,less postoperative complications.