股骨近端锁定钢板术治疗老年股骨转子间骨折效果分析

Analyze the Clinical Effect of Proximal Femur Locking Plate in Elderly Patients with Intertrochanteric Fracture

目的研究股骨近端锁定钢板术治疗老年股骨转子间骨折的效果。方法于2013年1月—2016年9月,该院对老年股骨转子间骨折进行了研究,共选取144例该病患者,按照随机数字表法将所有患者分为A、B两组各72例,其中A组使用股骨近端髓内钉进行治疗,B组患者使用股骨近端锁定钢板术进行治疗,对比两组患者手术中各项指标、治疗6个月后髋关节功能情况以及治疗疗效。结果 B组手术时间(62.31±12.54)h明显比A组(78.24±10.66)h短,差异有统计学意义(P<0.05);B组髋关节功能优良率97.22%高于A组83.33%,B组总有效率95.83%高于A组84.72%,两组差异有统计学意义(P<0.05)。结论在临床对股骨转子间骨折进行治疗时应根据患者具体情况进行手术方式选择,股骨近端锁定钢板术较为适合老年患者进行治疗。

Objective To analyze the clinical effect of proximal femur locking plate in elderly patients with in- tertrochanteric fracture. Methods 144 elderly patients with intertrochanteric fracture treated from January 2013 to September 2016 in our hospital were selected. The subjects were randomly divided into two groups, 72 cases each group. Group A adopted the proximal femoral nail; Group B adopted the proximal femur locking plate. The operation index, hip joint function after 6m of surgery and clinical effect for two groups was compared. Results The operation time for Group B and Group A was（62.31±12.54）h and （78.24±10.66）h （P〈0.05）; the good rate of hip joint function for Group B （97.22%） was higher than Group A （83.33%）; the total effective rate for Group B （95.83%） was higher than Group A （84.72%） （P〈0.05）. Conclusion For patients with intertroehanteric fracture, it is essential to choose the suit- able operations according to the patient＇s condition. The proximal femur locking plate is suitable for elderly patients with intertrochanterie fracture.