股骨转子间骨折PFNA内固定术临床疗效分析

Analysis of Clinical Efficacy of PFNA Internal Fixation in the Treatment of Intertrochanteric Fracture

目的:分析股骨转子间骨折防旋股骨近端髓内钉(PFNA)内固定术的临床疗效.方法:采用回顾性方法分析,选取我院自2011年1月-2013年8月以来收治的58例老年股骨转子间骨折患者的临床资料,随机将其分为对照组及观察组,两组各29例,对照组给予股骨近端髓内钉(PFN),观察组患者给予防旋股骨近端髓内钉(PFNA),比较两组患者的临床疗效.结果:观察组患者的手术时间、术中出血量及并发症发生率均低于对照组患者,其差异具有统计学意义(P<0.05).结论:PFNA与PFN治疗股骨转子间骨折均有较好疗效,但PFNA内固定术创伤小,且并发症少,值得临床推广应用.

Objective：To analyze the clinical efficacy of proximal femoral nail anti-rotation（PFNA）internal fixation in the treatment of intertrochanteric fracture. Methods：Retrospective analysis methods was applied, the clinical data of 58 aged patients with intertrochanteric fractures who were treated in our hospital from January 2011 to August 2013 were selected, and were randomly divided into control group and observation group, 29 cases in each group. The control group was treated with proximal femoral nail（PFN）, the observation group was treated proximal femoral nail anti-rota-tion（PFNA）, the clinical efficacy of the two groups were compared. Results：The operative time, blood loss and com-plications in the observation group were lower than that of control group, the differences were statistically significant （P〈0.05）. Conclusion：PFNA and PFN both have better effects to treat intertrochanteric fractures, but PFNA internal fixation has the advantages of smaller trauma and fewer complications, so it is worthy of clinical application.