老年股骨粗隆间骨折应用动力髋螺钉和防旋型股骨近端髓内钉内固定治疗的临床比较

CLINICAL COMPARISON OF FRACTURES WITH DYNAMIC HIP SCREW AND ANTI- ROTATION TYPE OF PROXIMAL FEMORAL NAIL FIXATION OF INTERTROCHANTERIC AMONG ELDERLY

目的 对比分析动力髋螺钉（DHS）与防旋型股骨近端髓内钉（PFN-A）治疗老年股骨粗隆间骨折的临床疗效.方法 选取2012年6月～014年5月收治的90例股骨粗隆间骨折的患者,随机分为观察组和对照组,其中观察组45例,采用防旋型股骨近端髓内钉（PFN-A）治疗,对照组45例,采用动力髋螺钉（OHS）即钉板固定系统治疗,记录手术时间、出血量值,以及切口愈合、术后下床活动的时间,同时评价患者术后髋关节功能情况.结果 观察组在手术时间、术中出血量及术后下床活动时间与对照组相比差异有统计学意义（p＜0.05）;两组患者髋关节功能恢复情况比较差异有统计学意义（p＜0.05）.结论 对于老年股骨粗隆间骨折应用防旋型股骨近端髓内钉（PFN-A）较动力髋螺钉（DHS）疗效更好,治疗后患者能在短时间内恢复髋关节功能、提高生活质量,值得在临床上予以推广.

Objective To compare the dynamic hip screw with anti -rotation type proximal femoral nail treatment of intertrochanteric fractures. Methods 90 cases of intertroehanteric fracture patients in 2012 and 2014 in our hospital were randomly divided into observation group and control group. The two groups were observed and compared with operative time, blood loss, healing time, lower postoperative bed time and hip function recovery. Results The study group in operative time, compared with the control group on blood loss and postoperative ambulation time was statistically significant （p 〈 0.05 ） ; Two functional recovery in patients with hip had statistically significant difference （p 〈0.05 ）. Conclusion The use of anti - rotation type proximal femoral nail （ PFN - A） Treatment of intertrochanteric fractures in elderly resulted in good clinical efficacy, faster recovery of hip function, deserve promotion in clinical practice.