PFNA固定与人工股骨头置换治疗老年股骨转子间骨折的疗效比较

Comparison of the efficacy of PFNA fixation and artificial femoral head replacement in the treatment of intertrochanteric fractures in the elderly

目的探析股骨近端防旋髓内钉(PFNA)内固定与人工股骨头置换治疗老年股骨转子间骨折的疗效。方法选取我院收治的老年股骨转子间骨折患者80例,按治疗方式不同分为对照组和试验组,各40例。对照组采用PFNA内固定技术,试验组应用人工股骨头置换术进行治疗,对比两组患者的临床疗效、术中出血量、手术时间、住院费用及关节功能的恢复程度。结果治疗后,试验组患者的治疗效果和关节功能的恢复程度均优于对照组,且术中出血量、手术时间及住院费用均显著低于对照组(P<0.05)。结论针对老年股骨转子间骨折患者,应用PFNA内固定治疗的效果显著优于人工股骨头置换术治疗,不仅可减少术中出血量,减轻患者疼痛,而且可促进关节功能的尽快康复,提高了生活质量,值得推广。

Objective To analyze the efficacy of PFNA fixation and artificial femoral head replacement in the treatment of intertrochanteric fractures in the elderly. Methods Eighty elderly palienls with intertrochanteric fractures in our hospilal were selected and divided into control group and experimental group according to the di^erent treatment method, with 40 cases in each group. The control group was treated with PFNA fixation and lhe experimental group was treated with artificial femoral head replacement. The clinical e^icacy, intraoperative blood loss, operation lime, cost of hospitalization and recovery ofjoinl function were compared between lhe lwo groups. Results After treatment, lhe treatment effect and lhe degree of recovery of joint function in lhe experimental group were belter than those in lhe control group; lhe bleeding volume, operation lime and hospitalization cost in lhe experimental group were significantly lower than those in lhe control group （ P〈0.05）. Conclusion For lhe elderly palienls with intertrochanteric fractures, lhe effect of PFNA fixation was significantly belter than artificial femoral head replacement. Ilnol only can reduce lhe amount of intraoperative blood loss, reduce pain in palienls, bul also promote joint function rehabilitation as soon as possible, improve lhe quality of life, worthy of clinical popularization.