解剖型锁定钢板与PFNA治疗老年不稳定型粗隆间骨折的临床观察

Clinical observation of anatomic locking plate and PFNA in the treatment of senile unstable intertrochanteric fracture

目的探讨解剖型锁定钢板与股骨近端防旋髓内钉(PFNA)治疗老年不稳定型粗隆间骨折的疗效。方法老年不稳定型粗隆间骨折患者100例,依据治疗措施不同分为解剖型锁定钢板组50例(解剖型锁定钢板治疗)和PFNA组50例(PFNA治疗)。比较两组的治疗效果。结果 PFNA组患者手术切口、出血量、卧床时间、平均愈合时间明显优于解剖型锁定钢板组,PFNA组患者预后功能恢复效果明显优于解剖型锁定钢板组,差异均有统计学意义(P<0.05)。结论 PFNA治疗老年不稳定型粗隆间骨折临床效果明显,功能恢复良好,值得临床借鉴。

Objective To investigate the curative effects of anatomic locking plate and proximal femoral nail antirotation （PFNA） in the treatment of senile unstable intertrochanteric fracture.Methods A total of 100 patients with senile unstable intertrochanteric fracture were divided by different treatment measures into anatomic locking plate group with 50 cases （treated by anatomic locking plate） and PFNA group with 50 cases （PFNA treatment）. Curative effects of the two groups were compared.Results PFNA group had better operation incision, bleeding volume, bed rest time, and average heal time than anatomic locking plate group, and PFNA group also had better prognosis effect than anatomic locking plate group. The differences all had statistical significance （P〈0.05）.Conclusion PFNA has precise effect in treating senile unstable intertrochanteric fracture with good functional recovery. It is worthy of clinical reference.