亚洲型股骨近端防旋髓内钉(PFNA-Ⅱ)与骨水泥型双极头置换治疗高龄不稳定型股骨粗隆间骨折的对比分析

Comparative Analysis of PFNA-Ⅱ and Bone Cement Type Bipolar Head Replacement in Treatment of Unstable Intertrochanteric Fracture in Senile Patients

目的对比两种方法治疗高龄不稳定型股骨粗隆间骨折的疗效。方法从2015年1月—2016年1月该院骨科方便选取60例高龄不稳定型股骨粗隆间骨折患者,30例行PFNA-Ⅱ治疗,另30例行骨水泥型双极头置换。观测两组术中出血量、手术时间、术后负重时间及疗效。结果 PFNA-II组手术时间(29.3±5.2)min、出血量(14.7±4.2)m L、负重时间(2.3±1.2)周显著低于置换组(34.8±8.9)min、(18.2±4.9)m L、(3.1±1.9)周;两组骨折愈合时间、Harris评分、住院时间比较差异无统计学意义(P>0.05)。结论 PFNA-Ⅱ治疗高龄不稳定型股骨粗隆间骨折的疗效更好,手术时间短,出血量少,值得推广。

Objective To compare the curative effect of PFNA-Ⅱ and bone cement type bipolar head replacement in treatment of unstable intertrochanteric fracture in senile patients. Methods 60 cases of senile patients with unstable intertrochanteric fractures admitted and treated in our hospital from January 2015 to January 2016 were convenient selected and divided into two groups with 30 cases in each, respectively treated with PFNA-II and bone cement type bipolar head replacement, and the intraoperative bleeding amount, operation time, postoperative weight loading time and curative effect of the two groups were observed. Results The operation time, postoperative weight loading time and curative effect in the PF-NA-II group were obviously lower than that in the replacement group, [(29.3±5.2)min,(14.7±4.2)m L,(2.3±1.2)weeks vs(34.8±8.9)min,(18.2±4.9)m L,(3.1±1.9)weeks], and there were no obvious differences in the fracture healing time, Harris score and length of stay between the wo groups(P>0.05). Conclusion The curative effect of PFNA-Ⅱ in treatment of unstable intertrochanteric fracture in senile patients is better with short operation time and less bleeding amount, and it is worth promotion.