动力髋螺钉与股骨近端髓内钉内固定治疗老年股骨粗隆间骨折的临床疗效对比

Clinical effect comparison of dynamic hip screw and proximal femoral nail fixation on elderly patients with intertrochanteric fracture

目的比较动力髋螺钉(DHS)与股骨近端髓内钉(PFN)内固定治疗老年股骨粗隆间骨折的临床疗效。方法回顾性分析我院238例老年股骨粗隆间骨折患者的临床资料,根据内固定治疗方式的不同将其分为DHS组(n=118)与PFN组(n=120),观察比较两组患者的手术情况与临床优良率。结果 PFN组患者的手术时间、切口长度、出血量及术后骨折愈合时间均明显优于DHS组患者(P<0.01);临床优良率比较,PFN组明显高于DHS组(P<0.01)。结论与动力髋螺钉内固定治疗相比,股骨近端髓内钉内固定治疗老年股骨粗隆间骨折具有显著的优势,应用价值更高。

Objective To compare the clinical effects of dynamic hip screw （DHS） and proximal femoral nail （PFN） in the treatment of intertrochanteric fracture in elderly patients. Methods The clinical data of 238 cases of elderly patients with intertrochanteric fracture were retrospectively analyzed, all the patients were divided into DHS group （n=118） and PFN group （n=120） according to different ways of internal fixation. The operative situations and clinical excellent rate of two groups were compared. Results The operation time, incision length, blood loss and fracture healing time of PFN group were significantly better than those of the DHS group （P〈0.01）, and the clinical excellent rate of the PFN group was significantly higher than that of the DHS group （P〈0.01）. Conclusion Compared with dynamic hip screw internal fixation, the internal fixation of proximal femoral nail in the treatment of intertrochanteric fracture in elderly patients has obvious advantages. It has certain value in clinical application.