股骨近端防旋髓内钉内固定治疗老年股骨转子间骨折效果分析被引量：4

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摘要目的探讨股骨近端防旋髓内钉(PFNA)内固定治疗老年股骨转子间骨折的效果。方法随机将74例老年股骨转子间骨折患者分为2组,各37例。对照组采用动力髋螺钉(DHS)内固定术,观察组采用PFNA内固定术。比较2组的手术效果。结果观察组术中出血量少于对照组,手术时间及术后下床负重活动时间、骨折愈合时间短于对照组;观察组术后3个月、6个月的髋关节功能(Harris)评分高于对照组。差异均有统计学意义(P<0.05)。随访期间,观察组并发症总发生率为8.11%(3/37),低于对照组的27.03%(10/37),差异有统计学意义(P<0.05)。结论与DHS比较,PFNA内固定治疗老年股骨转子间骨折手术创伤小、并发症风险低,有利于髋关节功能的良好康复效果。

作者方胜

机构地区河南桐柏县人民医院外二科

出处《河南外科学杂志》 2019年第4期136-137,共2页 Henan Journal of Surgery

关键词股骨转子间骨折股骨近端防旋髓内钉动力髋螺钉

分类号 R683.42 [医药卫生—骨科学]

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