动力髋螺钉与股骨近端防旋髓内钉治疗骨质疏松患者粗隆间骨折效果比较

Comparison of Dynamic Hip Screw and Proximal Femoral Nail in the Treatment of Intertrochanteric Fracture in Patients With Osteoporosis

目的 分析动力髋螺钉与股骨近端防旋髓内钉治疗骨质疏松患者粗隆间骨折的效果。方法 抽取2013年4月~2015年1月我院接收的62例骨质疏松粗隆间骨折患者作为研究对象,根据手术方式分为PFNA组及DHS组,各31例。PFNA组采用股骨近端防旋髓内钉治疗,DHS组采用动力髋螺钉治疗,对比两组患者治疗效果。结果 PFNA组治疗优良率87.1%高于DHS组的61.3%,差异具有统计学意义（P〈0.05）。结论 采用股骨近端防旋髓内钉治疗骨质疏松粗隆间骨折患者效果显著,可有效改善患者关节功能,提升治疗效果。

Objective To analyze the effect of dynamic hip screw and proximal femoral nail anti rotation intramedul ary nail in the treatment of intertrochanteric fracture in patients with osteoporosis. Methods A total of 62 patients with osteoporotic intertrochanteric fracture from April 2013 to January 2015 in our hospital were selected as the research object,they were divided into the PFNA group and DHS group,31 cases in each group. PFNA group was treated with proximal femoral nail anti rotation intramedul ary nail,DHS group was treated with dynamic hip screw,we compared the treatment effect of two groups of patients. Results The excel ent and good rate of PFNA group was 61.3%,which was significantly higher than that in group DHS（87.1%）, and the difference was significant（P ＆lt; 0.05）. Conclusion Proximal femoral nail anti rotation intramedul ary nail in the treatment of osteoporotic intertrochanteric fracture patients have significant effect,can effectively improve the patient＆#39;s joint function,improve the treatment effect.