老年股骨粗隆间骨折实施APFN内固定治疗效果观察

Observation on the Effect of APFN Internal Fixation in the Treatment of Intertrochanteric Fracture in the Elderly

目的讨论老年股骨粗隆间骨折实施APFN内固定治疗的临床应用效果。方法将2017年1月—2019年12月本院收治的100例老年股骨粗隆间骨折手术患者作为研究对象,以随机数字表法分为对照组与研究组各50例,对照组实施股骨近端防旋髓内钉(proximal end of the femur is free from intramedullary nailing,PFNA)内固定治疗,研究组实施亚洲型股骨近端髓内钉(Asian type proximal femoral intramedullary nail,APFN)内固定治疗,比较两组手术治疗指标、术后1个月Harris髋关节功能评分及并发症发生情况。结果两组手术时间及术中出血量比较差异均无统计学意义(P> 0.05);研究组住院时间及负重时间均短于对照组,术后1个月Harris髋关节功能评分明显高于对照组,并发症发生率明显低于对照组,比较差异均有统计学意义(P <0.05)。结论 APFN内固定手术更利于促进患者髋关节功能的恢复,缩短其住院时间,降低并发症发生率。

Objective To discuss the application clinical effect of APFN internal fixation treatment of intertrochanteric fracture in the elderly patients.Methods 100 elderly patients with intertrochanteric fracture admitted to our hospital from January 2017 to December 2019 were randomly divided into control group and research group with 50 cases in each group.The control group was treated with proximal end of the femur is free from intramedullary nailing(PFNA)internal fixation therapy,and the research group was treated with Asian type proximal femoral intramedullary nail(APFN)internal fixation therapy.The surgical treatment indexes,Harris hip function score and complications were compared between the two groups.Results There was no difference in operative time and intraoperative blood loss between the two groups(P>0.05).The hospitalization time and weight-bearing time of the research group were shorter than those of the control group,Harris hip function score was significantly higher than that of the control group one month after operation,and the incidence of complications was significantly lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion APFN surgery is more conducive to promoting the recovery of hip joint function,shortening the length of hospitalization time and reducing the incidence of complications.