PFNA与股骨近端锁定钛板治疗老年股骨转子间骨折的临床比较

Comparing PFNA and proximal femoral locking plate for the treatment of senile femoral fractures between rotor clinical studies

目的探讨股骨近端锁定钛板(PFLCP)和股骨近端髓内钉(PFNA)治疗老年转子间骨折的临床疗效。方法收集2013年12月—2015年12月76例老年股骨转子间骨折患者,随机分为2组,分别选择PFNA及PFLCP两种方式进行手术治疗。观察手术总时间、术中出血量、术后骨折愈合时间、Harris评分及并发症发生率。结果 76例患者均获得随访,随访时间平均为21个月,与PFLCP组比较,PFNA组手术时间短、术中出血量少、骨折愈合时间短,差异均有统计学意义(P<0.05);术后2组髋关节Harris评分无统计学差异(P>0.05)。结论 PFNA治疗老年股骨转子间骨折手术创伤小、术中出血量少、术后并发症发生率低,临床疗效满意。

Objective To explore the proximal femoral locking titanium plate（PFLCP）and proximal femoral intramedullary nail fixation system（PFNA）for the treatment of senile fracture between rotor clinical curative effect. Methods The study collected from 2014-06 to 2016-06,there are 76 cases of senile femoral fractures in patients with clinical,between rotor respectively choose PFNA and proximal femoral locking plate for surgical treatment in one of two ways.Observation indexes include：total operation time,intraoperative blood loss,postoperative fracture healing time, Harris score and the incidence of complications.Results The 76 cases received follow-up,followed up for an average of 21 months. PFNA group compared with PFLCP group,PFNA group of shorter operation time,less intraoperative blood loss,fracture healing time is short,the difference was statistically significant（P〈0.05）.There was no statistical significance in two groups of Harris hip score（P〉0.05）.Conclusion Treatment of senile femoral fractures between rotor small surgical trauma,less intraoperative blood loss,lower incidence of postoperative complications,clinical curative effect is satisfied.