PFNA与解剖型锁定钢板内固定治疗老年股骨粗隆间骨折的疗效比较

Comparison of Clinical Effect of PFNA and Anatomical Locking Plate Fixa-tion in the Treatment of Elderly Patients with Intertrochanteric Fracture

目的分析老年股骨粗隆间骨折采取PFNA与解剖型锁定钢板内固定治疗的临床疗效。方法整群选取2013年1月—2015年1月期间收治的72例老年股骨粗隆间骨折患者,将接受解剖型锁定钢板内固定治疗的36例患者作为对照组,将接受PFNA内固定手术治疗的36例患者作为观察组。对比其术后完全负重时间及骨折愈合时间,术后随访1年,对比两组髋关节Harris评分,评价其治疗效果。结果观察组术后负重时间、骨折愈合时间及术后Harris评分分别为(5.18±1.02)周、(18.79±4.26)周、(86.45±12.96)分,均优于对照组(10.86±2.43)周、(28.35±8.71)周、(76.58±8.98)分,差异有统计学意义(P<0.05)。结论对老年股骨见粗隆间骨折的治疗,采取解剖型锁定钢板内固定与PFNA治疗的疗效较好,但PFNA治疗具有创伤小、负重时间短、固定牢靠的优点,值得临床推荐使用。

Objective To analyze the clinical effect of PFNA and anatomical locking plate fixation in the treatment of el-derly patients with intertrochanteric fracture. Methods 72 elderly patients from January 2013 to January 2015 with in-tertrochanteric fracture were selected and according to the different treatment methods.36 patients were received the anatom-ical locking plate fixation treatment as the control group while 36 patients were received thePFNA treatment as the observa-tion group. Then,the total load time and fracture healing time after the operation were compared,and the Harris score of the two groups were compared after 1 years of follow-up,while its treatment effect were evaluated. Results The time of loading and the healing time and its Harris score after the operation in the observation group were （5.18＆#177;1.02） weeks, （18.79＆#177;4.26） weeks,（86.45＆#177;12.96） scores,was better than those in the control group of （10.86＆#177;2.43）weeks, （28.35＆#177;8.71）weeks,（76.58＆#177;8.98） scores, the difference was statistically significant （P﹤0.05）. Conclusion For the elderly patients with intertrochanteric frac-ture,the treatment of clinical effect of anatomical locking plate fixation and PFNA are better, but the PFNA treatment has the advantages of small trauma, short weight bearing time, fixed firmly,thus it is worth to be recommend and used in the clinical.