PFNA和解剖型锁定钢板固定治疗股骨粗隆间骨折的效果对比

Comparison of PFNA and Anatomical Locking Plate in the Treatment of Intertrochanteric Fracture

目的对比研究股骨近端防旋髓内钉(PFNA)和解剖型锁定钢板固定治疗股骨粗隆间骨折的效果。方法选取2014年1月—2016年1月于本院实施PFNA固定治疗的股骨粗隆间骨折患者70例作为观察组,并抽取同时期实施解剖型锁定钢板固定治疗的股骨粗隆间骨折患者70例作为对照组,比较两种固定方式的治疗效果。结果观察组患者术后3个月、6个月、12个月髋关节Harris评分均高于对照组(P<0.05);观察组患者住院时间和骨折愈合时间均短于对照组(P<0.05)。结论股骨近端防旋髓内钉固定治疗股骨粗隆间骨折,效果确切,可减少手术时间及术中出血量,减少并发症的发生。

Objective To compare the effect of PFNA and anatomical locking plate fixation in the treatment of femoral intertrochanteric fractures. Methods From January 2014 to January 2016, 70 cases intertrochanteric fracturesas who were treated with PFNA fixation were selected as the observation group and 70 patients who were treated with anatomical locking plate fixation were selected as the control group. The effect of two groups was compared. Results Harris hip scores after 3 months, 6 months, 12 months of the observation group were significantly higher（P 〈 0.05）, hospitalization time and fracture healing time were significantly shorter than those in the control group （P 〈 0.05）. Conclusion PFNA for intertrochanteric fractures is effective and can reduce the time of operation.