防旋股骨近端髓内钉与股骨近端解剖锁定钢板治疗高领患者股骨转子间骨折效果分析

Clinical Effect on the Elderly Intertrochanteric Fracture Patients by Proximal Femoral Nail anti-rotation （ PFNA） and Proximal Femur Anatomical Locking Plate （ ALP）

目的：对比防旋股骨近端髓内钉（ PFNA）与股骨近端解剖锁定钢板（ ALP）治疗高领患者股骨转子间骨折临床疗效.方法：将2012年10月～2013年10月来我院骨科就诊80例因股骨转子间骨折患者分为对照组和观察组,对照组应用防旋股骨近端髓内钉,观察组患者应用股骨近端解剖锁定钢板治疗. 结果：对照组的患者术中情况发生比率较观察组患者显著降低（ p〈0. 05）;对照组的患者和观察组的患者在愈后髋关节功能评分及愈合时间方面无显著的差异（P〉0. 05）. 结论：对于高龄的老年股骨转子间骨折的患者采取防旋股骨近端髓内钉治疗,可以显著缩短手术时间、减少切口长度和术中出血量,而且手术治疗后并发症发生几率少,易被老年患者所接受,值得推广.

To seek the clinical effect on the elderly intertrochanteric fracture patients by proximal femoral nail anti-rota-tion （ PFNA） and proximal femur anatomical locking plate （ ALP） . Methods：80 cases elderly intertrochanteric fractures patients treated in our hospital from October 2012 to October 2013was divided into the control group and the observation group ,the the control group was treated with PFNA,the observation group was treated with ALP. Results：The incidence of complications of the control group patients was significantly lower than that of the observation group（P〈0. 05）;the functional score of hip point after prognosis and healing time were not significantly in the two groups. （P〉0. 05）. Conclusion： PFNA can decrease the operation time, shorten the incisive length and blood loss during operation significantly in the treatment of elderly intertrochanteric fractures, and incidence of complications after surgery is less, the elderly patients is more likely to accept it,it is worth promoting.