解剖型钢板与动力髋螺钉治疗老年股骨转子间骨折的效果

Therapeutic efficacy of anatomical plate and dynamic hip screw in the treatment of femoral intertrochanteric fractures in the elderly

目的探讨解剖型钢板与动力髋螺钉治疗老年股骨转子间骨折的效果。方法将100例老年股骨转子间骨折患者根据内固定方式不同分为对照组(采用动力髋螺钉治疗,50例)和观察组(采用解剖型钢板治疗,50例)。记录术后扶拐情况和并发症发生情况。末次随访时采用Harris评分标准评价髋关节功能恢复情况。结果患者均获得随访,时间10~15个月。骨折均愈合,时间11~25周。术后并发症发生率观察组低于对照组(P<0.05)。扶拐时间观察组较对照组短(P<0.05)。末次随访时两组髋关节功能优良率比较差异无统计学意义(P>0.05)。结论解剖型钢板与动力髋螺钉治疗老年股骨转子间骨折均可获得较好的效果,但解剖型钢板手术并发症发生率更低,安全性更高。

Objective To investigate the effect of anatomical plate and dynamic hip screw in the treatment of elderly intertrochanteric fractures.Methods The 100 elderly patients with intertrochanteric fractures were randomly divided into control group(50 patients were treated with dynamic hip screw)and observation group(50 patients were treated with anatomical plate).The walking with stick and complications were recorded.At the last follow-up,Harris score was used to evaluate the recovery of hip function.Results All patients were followed up for 10~15 months.The fractures were all healed within 11~25 weeks.The incidence rate of complications in the observation group was lower than that in the control group(P<0.05).The crutching time in the observation group was shorter than that in the control group(P<0.05).At the last follow-up,there was no significant difference in the excellent and good rate of hip function between the two groups(P>0.05).Conclusions Both anatomic locking plate and dynamic hip screw can achieve better results in the treatment of elderly patients with intertrochanteric fracture,but the incidence rate of complications in anatomic locking plate surgery is lower,and the safety is more higher.