PFNA内固定术治疗老年股骨近端骨折的效果观察

Effect of PFNA Internal Fixation in the Treatment of Proximal Femoral Fracture in Elderly Patients

目的研究并分析治疗老年股骨近端骨折患者时使用PFNA内固定术治疗的效果。方法收集老年股骨近端骨折患者共66例,按照完全随机数字表将其分为对照组(33例)和观察组(33例),对照组接受动力髋螺钉治疗,观察组接受PFNA内固定术治疗,将两组临床疗效以及Harris髋关节评分进行观察和对比。结果相较于对照组,观察组的总有效率更高;在Harris髋关节评分方面,观察组显著高于对照组,P均<0.05。结论老年股骨近端骨折患者的治疗过程中,PFNA内固定术治疗能够显著改善患者的髋关节功能,值得推广应用。

Objective To study and analyze the effects of PFNA internal fixation therapy in the treatment of elder patients with proximal femoral fractures. Methods 66 elder patients with proximal femoral fracture were selected and divided into control group （33 cases） and observation group （33 cases） according to completely random numbers table. Patients in the control group were treated with dynamic hip screw, while those in the observation group received PFNA internal fixation therapy. Clinical curative effect and Harris hip score of the two groups were observed and compared. Results The total efficiency of the observation group was high compared with the control group. Harris hip score of the observation group was significantly higher than that of the control group （ P〈O. 05 ）. Conclu- sion In the course of the treatment of elderly patients with proximal femoral fracture, PFNA internal fixation therapy can significantly improve patients＇ hip function, which should be promoted.