PFNA治疗股骨粗隆骨折的效果与并发症

PFNA Effect and Complications for the Treatment of FemoralTrochanter Fracture

目的：探讨PFNA治疗股骨粗隆骨折的临床效果及并发症.方法：选择2013年9月-2016年9月在本院接受治疗的42例股骨粗隆间骨折患者作为研究对象,将所有患者随机分为对照组与观察组,每组各21例,对照组患者接受股骨近端解剖锁定钢板固定治疗,观察组患者接受PFNA治疗,观察2组疗效.结果：观察组手术、术后负重、住院时间均显著短于对照组,髋关节功能改善优良率为90.48%,显著高于对照组的60.90%,术后并发症发生率显著低于对照组（P＜0.05）.结论：应用PFNA手术方式对股骨粗隆间骨折进行治疗,疗效更加确切,安全性更高.

Objective： To study the PFNA treatment of femoral trochanter fracture clinical effects and complications.Methods： From September 2013 to September 2016 in our hospital for treatment of 42 patients with intertrochanteric fractures as the research object, all the patients were randomly divided into control group and the observer, the 21 cases in each group, control group patients treated with proximal femoral anatomic locking plate fixed, observer PFNA treatment patients, to observe the curative effect of two groups.Results： Surgery, postoperative observation group, weight, length of hospital stay were significantly shorter than the control group, the hip function improved fine rate was 90.48%, significantly higher than that of control group 60.90%, the incidence of postoperative complications was significantly lower than that of control group （P 〈 0.05）.Conclusion： The application of PFNA operation method to treat intertrochanteric fractures, more exact curative effect, higher safety.