PFNA内固定联合近端控制技术微创治疗股骨粗隆间骨折临床研究

Clinical Study of PFNA Internal Fixation Combined with Proximal Control Technique for Minimally Invasive Treatment of Femoral Intertrochanteric Fractures

观察股骨近端抗旋髓内钉(PFNA)内固定联合近端控制技术微创治疗股骨粗隆间骨折临床效果分析。方法:选取我院2019年6月-2021年6月收治的股骨粗隆间骨折患者66例,按照随机数字表法随机分为2组,每组各33例。对照组接受PFNA内固定治疗,观察组行近端控制技术微创联合内固定手术治疗。对比2组治疗效果,治疗前、后生活自理能力评分,治疗前、后髋关节功能评分情况及围术期情况,统计并发症发生率。结果:治疗后,2组生活自理能力评分均提高,且观察组指标显著高于对照组,差异存在统计学意义(P<0.05);治疗后,2组髋关节功能评分均增大,且观察组指标显著高于对照组,差异存在统计学意义(P<0.05);治疗后,观察组围术期情况明显优于对照组,差异存在统计学意义(P<0.05);观察组患者的并发症发生率为18.18%,对照组患者的并发症发生率为42.42%,差异存在统计学意义(P<0.05);治疗后,观察组骨折愈合时间低于对照组,差异存在统计学意义(P<0.05)。结论:近端控制技术微创联合PFNA内固定手术对股骨粗隆间骨折的治疗效果显著,有效改善患者髋关节活动度,提高生活质量。

Objective:To observe the clinical effect of proximal femoral anti-rotation intramedullary nail(PF-NA)internal fixation combined with proximal control technique for minimally invasive treatment of femoral intertro-chanteric fractures.Methods:A total of 66 patients with femoral intertrochanteric fractures received from June 2019 to June 2021 were selected and randomly divided into two groups according to the random number table method,with 33 cases in each group.The control group received PFNA internal fixation,and the experimental group underwent End-control technology minimally invasive combined with internal fixation surgery was used to compare the thera-peutic effects of the two groups,the scores of self-care ability before and after treatment,the hip function scores be-fore and after treatment,and the perioperative conditions,and the incidence of complications was calculated.Re-sults:After treatment,the self-care ability scores in both groups decreased,and the indexes in the experimental group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05).After treatment,the hip function scores in both groups increased,and the indexes in the experimental group were significantly higher than those in the control group,and the difference was statistically significant(P<0.05).After treatment,the perioperative condition of the experimental group was significantly better than that of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the experimental group was 18.18%,and the incidence of complications in the control group was 42.42%,and the dfference was statistically significant(P<0.05).After treatment,the fracture healing time of the experimental group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:The minimal-ly invasive proximal control technique combined with PFNA internal fixation has a significant therapeutic effect on in-tertrochanteric fractures of the femur,and can effectively improve the range of motion of the hip joint and improve the qualityof life.