PFNA内固定在高龄股骨粗隆间骨折治疗中的临床疗效

Effect of PFNA on the treatment of femoral intertrochanteric fracture of the elderly

目的:探究PFNA内固定术在高龄股骨粗隆间骨折(FIF)治疗中的应用效果。方法:选择我院63例高龄FIF患者,随机分成2组,对照组28例患者接受股骨近端锁定钢板(PF-LCP)治疗,而观察组35例患者则接受PFNA内固定治疗,分析两组手术情况。结果:观察组手术时间、术中出血量、术后住院时间、愈合时间以及术后并发症率均显著低于对照组(p<0.05);术后随访1年,观察组髋关节功能优良率94.29%,显著优于对照组75.0%(p<0.05)。结论:应用PFNA内固定治疗高龄FIF效果确切,能够显著降低术后并发症,缩短患者康复时间,促进其髋关节功能恢复。

Objective:To explore the effect of PFNA in the treatment of FIF of the elderly.Methods:63 cases were randomly divided into control group(n=28,treated with PF-LCP)and observation group(n=35,treated with PFNA).Result:The operative time,blood loss,hospitalization time,fracture healing time and postoperative complication rate of observation group were lower than control group(p<0.05);The excellent rate of hip function of observation group was 94.29%,which was better than control group 75.0%.Conclusion:PFNA can significantly shorten the postoperative recovery time of elderly patients with FIF and promote the hip function recover.