PFNA和PCCP治疗IFF的临床疗效对比性研究

Comparative Study after Treatment of Geriatric Intertrochanteric Femoral Fractures with Percutaneous Compression Plate(PCCP) and proximal femoral nail anti-rotation(PFNA)

目的探讨股骨近端防旋髓内钉(PFNA)和经皮加压钢板(PCCP)治疗股骨粗隆间骨折(IFF)的临床疗效。方法选取122例IFF患者为研究对象,按患者所选治疗方法不同PFNA组与PCCP组,各61例,比较2组患者术中出血量、并发症发生率、骨折愈合时间等变化。结果 PCCP组患者手术时间短于PFNA组,术中出血量少于PFNA组,术后Harris评分低于PFNA组,差异有统计学意义(P<0.05);PFNA组优良的率优于PCCP组(81.97%/62.30%);差异有统计学意义(P<0.05);PFNA组并发症发生率显著低于PCCP组(14.75%/26.23%),差异有统计学意义(P<0.05)。结论 PFNA适宜于各种类型的老年人股骨粗隆间骨折,值得临床广泛推广和应用。

Objective To investigate the Efficacy of Treatment of Geriatric Intertrochanteric Femoral Fractures with Percutaneous Compression Plate （PCCP） and proximal femoral nail anti-rotation （PFNA）. Methods A total of 122patients with Intertrochanteric Femoral Fractures were chosen and were divided into the PFNA group （n=61） and the PCCP group （n=61）according to the treatment.The Blood loss, complication rate and fracture healing time were analyzed and compared between two groups. Results The time of operative, blood loss and Harris hip score on PCCP group were shorter than PFNA group,the differences were statistically significant （P 〈0.05）;the rates of excellent on PFNA group were higher than PCCP group （81.97%/62.30%）, the difference was statistically significant （P〈0.05）;the rate of complication on PFNA group was significantly lower than PCCP group （14.75%/26.23%）, the difference was statistically significant （P 〈0.05）. Conclusion PFNA suitable for all types of elderly intertrochanteric fracture, it’s worthy of being widely applied in clinic.