PFNA和DHS内固定治疗老年股骨粗隆间骨折的临床疗效对比

Comparison of clinical efficacy of PFNA and DHS internal fixation in the treatment of intertrochanteric fracture in elderly patients

目的:对比PFNA和DHS内固定治疗老年股骨粗隆间骨折临床疗效。方法:回顾分析2013年3月至2017年3月我科收治的30例股骨粗隆间骨折老年患者的临床资料,其中采用PFNA内固定及DHS内固定各15例。比较2种术式的平均手术时长、术中出血量、住院时间及术后功能恢复情况。结果:DHS组患者术中出血量多于PFNA组,差异有统计学意义(P<0.05)。DHS组患者手术时长、住院时间、术后髋关节功能与PFNA组差异无统计学意义。结论:DHS治疗老年股骨粗隆间骨折临床疗效与PFNA类似,尤其对骨折类型简单、股骨外侧壁完整的股骨粗隆间骨折,DHS具有可以解剖复位、操作简便的优势,值得临床推广。

Objective:To compare the surgical procedures and postoperative effects of PFNA and DHS in the treatment of intertrochanteric fracture in elderly patients.Methods:The clinical data of30elderly patients with intertrochanteric fracture treated in our department from March2013to March2017were retrospectively analyzed.15cases were treated with PFNA internal fixation and15cases with DHS internal fixation.The average length of operation,the amount of bleeding during operation,the time of hospitalization and the difference of postoperative functional recovery were compared between the two surgical procedures.Results:The intraoperative bleeding of the DHS group was more than that of the PFNA group,and the difference was statistically significant(P<0.05).There was no significant difference in length of operation,time of hospitalization or postoperative hip function between the two groups.Conclusions:DHS is similar in clinical efficacy to PFNA in the treatment of intertrochanteric fracture in elderly patients,especially for intertrochanteric fractures with simple fracture types and intact lateral wall of the femur.DHS has the advantages of anatomical reduction and simple operation,which is worthy of clinical promotion.