DHS和PFNA固定治疗老年股骨粗隆间骨折效果比较

Comparison of DHS and PFNA Fixation in the Treatment of Intertrochanteric Fractures in the Elderly

目的探讨老年股骨粗隆间骨折的合理手术方法。方法本次研究采取回顾性分析的方法,收集我院骨科诊断为股骨粗隆间骨折老年患者的病例档案,分为动力髋螺钉组(DHS)和股骨近端螺旋刀片抗旋髓内钉内固定组(PFNA)。收集并对比两组患者的手术记录及术后随访临床数据。结果PFNA组手术时间、出血量、术后住院时间及术后半年Harris功能评分均优于DHS组。研究组和对照组骨折愈合时间分别为(68.98±6.53)天、(78.32±7.29)天,研究组明显短于对照组,两组结果比较有差异(P<0.05)。结论PFNA手术方案治疗老年股骨粗隆间骨折有优势,体现在手术时间、术后住院时间短,康复情况佳。

Objective To explore the reasonable surgical method for intertrochanteric fractures in the elderly. Methods A retrospective analysis was carried out to collect the cases of elderly patients with intertrochanteric fractures in our hospital department of orthopedics, which were divided into the dynamic hip screw group（DHS） and the proximal femoral spiral blade intramedullary nail internal fixation group（PFNA）. The operative records and postoperative follow-up data of the two groups were collected and compared. Results The operative time, bleeding volume, postoperative hospital stay and Harris function score in group PFNA were better than those in group DHS. The fracture healing time of the study group and the control group was（68.98±6.53） days and（78.32±7.29） days respectively. The study group was significantly shorter than the control group. The results of the two groups were different（P〈 0.05）. Conclusion PFNA has advantages in the treatment of intertrochanteric fracture of femur in the elderly, including shorter operative time, shorter postoperative hospital stay and better rehabilitation.