PFNA与DHS治疗股骨粗隆间骨折的比较分析

Comparative analysis of PFNA and DHS in the treatment of intertrochanteric fracture

目的比较采用动力髋螺钉(dynamic hip screw,DHS)和股骨近端防旋髓内钉(proximal femoral nailanti-rotation,PFNA)治疗股骨粗隆间骨折的效果,探讨治疗股骨粗隆间骨折合理的内固定治疗方法。方法回顾分析2013年1月~2015年12月两种方法治疗股骨粗隆间骨折58例,其中PFNA组31例,DHS组27例。根据手术时间、术中出血量、住院天数和术后髋关节功能恢复等指标进行对比分析。结果 58例患者随访7~15个月,平均11个月,与DHS组相比,PFNA组手术时间短,术中出血少,并发症发生低,按Harris评分标准,髋关节功能恢复好。结论 PFNA治疗股骨粗隆间骨折创伤小,固定可靠、并发症少,髋关节功能恢复好,是手术治疗股骨粗隆间骨折的首选方法。

Objective To compare the DHS and the PFNA in the treatment of intertrochanteric fracture, and to explore reasonable treatment of intertrochanteric fracture internal fixation treatment. Methods 58 cases of treatment of intertrochanteric fracture in our hospital from January 2013 to December 2013 were retrospective analyzed, including 31 cases in PFNA group and 27cases in DHS group. The operation time, intraoperative blood loss, hospitalization days and postoperative recovery of hip function index were analyzed. Results 58 patients were followed up for 7 to 15 months, an average of 11 months. Compared with the DHS group, operation time, intraoperative bleeding, less complications, according to Harris scoring criteria, the hip joint function recovery of PFNA group were shorter. Conclusion The trauma PFNA treatment in the treatment of intertrochanteric fracture is small, and it has the advantage of reliable fixation, less complications and good functional recovery. It is the first choice for the treatment of intertrochanteric fracture.