PFNA及倒置LISS钢板治疗股骨近端骨折效果

Comparative Study of PFNA and Inverted LISS Plate in the Treatment of Proximal Femoral Fractures

目的探究PFNA及倒置LISS钢板治疗股骨近端骨折的效果。方法将2016年10月-2018年2月的76例股骨近端骨折的患者应用随机数字表的方式平均分为实验组与对照组,并分别采用PFNA及倒置LISS钢板对患者进行治疗,判别治疗效果。结果经研究,实验组的临床指标,主要包括手术时长、术中出血量及患者骨骼愈合时间均优于对照组,差异具有统计学意义,P<0.05。且实验组患者出现感染、疼痛、螺钉断裂及髋关节内翻的并发症发生率与对照组比较,差异不存在统计学意义,P>0.05。结论采用PFNA及倒置LISS钢板对患者进行治疗,均能够改善患者的症状,但是PFNA治疗的效果更加显著,能够优化临床指标。

Objective To investigate the effect of PFNA and inverted LISS plate in the treatment of proximal femoral fractures.Methods 76 patients with proximal femoral bulging from October 2016 to February 2018 were randomly divided into experimental group and control group by means of random number table.The patients were treated with PFNA and inverted LISS plate.Determine the therapeutic effect.Results After study,the clinical indexes of the experimental group,including the duration of surgery,the amount of intraoperative blood loss and the time of bone healing of the patients were significantly better than the control group,the difference was significant,P<0.05.There was no difference in the incidence of infection,pain,screw fracture and hip varus in the experimental group compared with the control group,P>0.05.Conclusion The treatment of patients with PFNA and inverted LISS plate can improve the symptoms of patients,but the effect of PFNA treatment is significantly more significant,which can optimize clinical indicators.