Gamma3钉与PFNA治疗老年不稳定股骨粗隆间骨折的疗效观察

Observation of curative effects by Gamma3 nail and PFNA in the treatment of senile unstable femoral intertrochanteric fracture

目的分析比较Gamma3钉与股骨近端防旋髓内钉(PFNA)两种方式治疗老年不稳定股骨粗隆间骨折的临床效果。方法老年不稳定股骨粗隆间骨折患者32例,随机分为对照组(Gamma3钉组)和试验组(PFNA组),各16例。比较两组患者术中出血量、手术用时以及骨折愈合用时。结果试验组患者术中出血量、手术时长、骨折愈合时长明显低于对照组,差异均有统计学意义(P<0.05)。结论在老年不稳定股骨粗隆间骨折患者中采用PFNA治疗的出血量较少,并且有效的缩短手术和恢复时间,值得临床上大力推广使用。

Objective To compare and analyze clinical effects by Gamma3 nail and proximal femoral nail antirotation（PFNA） in the treatment of senile unstable femoral intertrochanteric fracture. Methods A total of 32 senile patients with unstable femoral intertrochanteric fracture were randomly divided into control group（Gamma3 nail group） and experimental group（PFNA group）, with 16 cases in each group. Intraoperative bleeding volume, operation time, and fracture healing time were compared between the two groups. Results The experimental group had obviously less intraoperative bleeding volume, operation time, and fracture healing time than the control group. Their differences all had statistical significance（P〈0.05）. Conclusion Implement of PFNA in treating senile unstable femoral intertrochanteric fracture can reduce bleeding volume, and shorten operation time and healing time. This method is worthy of widely clinical promotion and application.