股骨近端防旋髓内钉治疗股骨转子冠状位骨折的手术复位探讨

Operative reduction of proximal femoral nail anti-rotation in the treatment of coronal intertrochanteric fractures

目的探讨采用股骨近端防旋髓内钉对股骨转子冠状位骨折患者进行治疗的手术复位效果。方法随机选取我院2011年9月至2014年3月收治的股骨转子冠状位骨折患者90例，按照治疗方法的不同将其随机分为A（股骨近端防旋髓内钉切开复位）、B（闭合复位）两组，对比两组患者的临床治疗效果。结果两组患者临床治疗效果并无统计学差异（82-2％VS．80．0％，P〉0．05），A组患者术后并发症的发生率明显低于B组（0％VS．13．3％，P〈0．05）。结论采取股骨近端防旋髓内钉对股骨转子冠状位骨折实施切开复位，疗效显著，安全可靠，建议在临床上进一步推广。

Objective To evaluate operative reduction of proximal femoral nail anti-rotation （PFNAR） in the treatment of coronal intertrochanteric fractures. Methods 90 cases of coronal intertrochanteric fractures in our hospital from September 2011 to March 2014 were randomly selected and randomly divided into group A and group B according to different treatment methods. Group A underwent PFNAR open reduction, while group B underwent closed reduction. Compared clinical outcomes of two groups. Results There was no statistically significant difference in clinical treatment effect between two groups （82.2% vs.80.0%,/〉〉0.05）; the incidence of postoperative complications in group A was significantly lower than that in group B （0% vs. 13.3%, P〈0.05）. Conclusion PFNAR in the treatment of coronal intertrochanteric fractures has a significant effect, safe and reliable, worthy of clinical promotion.