股骨近端防旋髓内钉手术治疗老年股骨粗隆间骨折患者的应用价值

The application value of proximal femoral anti rotation intramedullary nail in the treatment of intertrochanteric fracture in the elderly

目的探究股骨近端防旋髓内钉(PFNA)手术治疗老年股骨粗隆间骨折患者的临床应用价值。方法选取2018年10月至2020年4月本院收治的老年股骨粗隆间骨折患者32例,随机分为两组,各16例。对照组采用动力髋螺钉手术治疗,研究组采用PFNA治疗。比较两组手术指标、骨折愈合情况、并发症发生率、生活质量、髋关节功能评分。结果研究组手术时间、住院时间均短于对照组,术中出血量少于对照组(P<0.05);研究组优良率高于对照组(P<0.05);研究组并发症率低于对照组(P<0.05);研究组生活质量评分、髋关节功能(Harris)评分均高于对照组(P<0.05)。结论PFNA治疗老年股骨粗隆间骨折患者效果显著,可促使骨折愈合,且并发症少,安全性良好,有利于提高患者生活质量,值得临床推广应用。

Objective To study the clinical application value of PFNA in the elderly patients with intertrochanteric fracture.Methods 32 elderly patients with intertrochanteric fractures who were admitted to our hospital from October 2018 to April 2020 were selected and randomly divided into two groups,with 16 cases in each group.The control group was treated with dynamic hip screw operation,and the study group was treated with PFNA.The operation indexes,fracture healing,complication rate,quality of life and hip function score were compared between the two groups.Results The operation timeand hospitalization time of the study group were shorter than those of the control group,intraoperative hemorrhage was less than the control group(P<0.05);the excellent and good rate of the study group was higher than that of the control group(P<0.05);the complication rate of the study group was lower than that of the control group(P<0.05);the quality of life score and Harris score of the study group were higher than those of the control group(P<0.05).Conclusion PFNA is more effective in the treatment of intertrochanteric fracture of femur in the elderly,which can promote the healing of the fracture and reduce the complications.It is safe and helpful to improve the quality of life of the patients,and has high clinical application value.