微创复位术结合加长型抗旋转型股骨近端髓内钉内固定治疗股骨转子下骨折的临床疗效

Clinical Curative Effect of Minimally Invasive Repairs Combined with Long Resistance to Rotation Proximal Femoral Intramedullary Nail Fixation for Treatment of Femoral Subtrochanteric Fracture

目的分析微创复位术结合加长型抗旋转型股骨近端髓内钉(PFNA)内固定治疗股骨转子下骨折的临床疗效。方法随机将40例股骨转子下骨折患者分成两组,20例对照组患者选择PFNA手术治疗,20例实验组患者选择微创复位联合PFNA手术治疗。结果在临床治疗优良率以及并发症发生率方面,实验组均显著优于对照组(P<0.05)。结论微创复位术结合PFNA手术治疗股骨转子下骨折具有比较显著的临床疗效,具有临床应用价值。

Objective To study the effect of minimally invasive repairs combining with long resistance to rotation proximal femoral intramedullary nail （PFNA） of internal fixation in treatment of femoral subtrochanteric fractures.Methods40 patients with fracture of femoral subtrochanteric were randomly divided into two groups, 20 cases in the control group and were given PFNA operation treatment, and 20 patients in the experimental group were given minimally invasive joint PFNA reset operation.Results In the clinical treatment, the excellent rate and complication rate of the experimental group were significantly better than that of control group （P〈0.05）.ConclusionThe combination of minimally invasive repairs and PFNA surgery in the treatment of femoral subtrochanteric fractures has signiifcant clinical curative effect, and it has clinical application value.