老年股骨转子间骨折3种内固定方法的临床研究

The Clinical Research of Three Internal Fixation Methods Used for Elderly Intertrochanteric Femoral Fracture

目的：探讨用于治夯老年股骨转子闻骨折的3种内固定方法的临床效果。方法：我院收治的股骨转予阎骨折患者中，使用PFNA固定17例，使用DHS固定13倒，使用解剖型钢板（普通和锁定）固定15例。结果：三种方法中，PFNA并发症发生率最低，平均手术时间最短，手术中出。血量最少，骨折愈合时间最短。结论：在治疗老年股骨转子间骨折时，PFNA是第一选择。

Objective： To explore the clinical effect of three internal fixation methods used for elderly intertrochantrric femoral fracture. Methods.. Among the intertrochanteric femoral fracture patients our hospital had received, there were 17 patients using PFNA method, 13 patients using DHS and 15 patients using anatomical type steel plate （common and lock）. Result： Among the three methods, PFNA had the lowest complications, the shortest mean operation time, the least amount of bleeding and its fracture healing time was also shortest. Conclusion：When treating elderly intertrochanteric femoral fracture, PFNA is the first and best choice.