闭合复位PFNA内固定术治疗老年不稳定型股骨粗隆间骨折的效果分析

Analysis of the effect of closed reduction PFNA internal fixation in the treatment of unstable intertrochanteric fractures in the elderly

目的:探究用闭合复位股骨近端防旋髓内钉(PFNA)内固定术对老年不稳定型股骨粗隆间骨折患者进行治疗的临床效果。方法:将2017年1月至2019年1月期间泗洪县人民医院收治的60例不稳定型股骨粗隆间骨折患者随机分为PFNA组(n=30)与动力髋螺钉组(DHS组,n=30)。分别采用闭合复位PFNA内固定术与切开复位动力髋螺钉(DHS)内固定术对PFNA组患者与DHS组患者进行治疗,然后比较两组患者各项临床指标。结果:与DHS组患者相比,PFNA组患者术毕至下床活动的时间、术后住院的时间和术后骨折端愈合的时间均更短,术后1个月及术后6个月其Harris评分均更高,P<0.05。结论:用闭合复位PFNA内固定术对老年不稳定型股骨粗隆间骨折患者进行治疗能显著缩短其术后康复的时间,改善其髋关节的功能。

Objective:To investigate the clinical effect of closed reduction and proximal femoral anti-rotation intramedullary nail(PFNA)internal fixation in the treatment of elderly patients with unstable intertrochanteric fractures of the femur.Methods:A total of 60 patients with unstable intertrochanteric fractures admitted to Sihong County People’s Hospital from January 2017 to January 2019 were randomly divided into PFNA group(n=30)and dynamic hip screw group(DHS group,n=30).Closed reduction PFNA internal fixation and open reduction dynamic hip screw(DHS)internal fixation were used to treat patients in PFNA group and DHS group respectively,and then the clinical indicators of patients in the two groups were compared.Results:Compared with the DHS group,patients in the PFNA group had shorter postoperative activity time,shorter postoperative hospitalization time,and shorter postoperative fracture healing time,and higher Harris score 1 month and 6 months after surgery(P<0.05).Conclusion:The treatment of elderly patients with unstable intertrochanteric fracture by PFNA can significantly shorten the postoperative recovery time and improve the function of the hip joint.