PFNA与解剖锁定钢板治疗不稳定性股骨粗隆间骨折的疗效分析

The efficacy of PFNA and anatomical locking plate for the treatment of unstable femoral fractures

目的:研究并分析PFNA与解剖锁定钢板治疗不稳定性股骨粗隆间骨折的疗效。方法:选取我院在2011年3月到2017年3月期间收治的40例不稳定性股骨粗隆间骨折患者进行研究,按照随机数字表法将其分为实验组和参照组,各20例。对实验组患者予以PFNA治疗,对参照组患者予以解剖锁定钢板治疗,对比两组患者的治疗效果。结果:对比两组患者的术中出血量、手术时间,组间数据差异显著,且p<0.05;两组患者的骨折愈合时间无明显差异,且p>0.05。实验组患者的并发症发生情况明显少于参照组,组间差异显著,且p<0.05。结论:对不稳定性股骨粗隆间骨折患者使用PFNA治疗,具有出血少、并发症少、手术时间短、固定牢靠以及操作简单等优点,是治疗此疾病较为理想的材料。

Objective:To study and analyze the curative effect of PFNA and anatomical locking plate on the treatment of unstable femoral fracture.Methods:Our hospital in March 2011 to March 2017 admitted during the period of 40 patients with unstable intertrochanteric fracture is studied,according to random number table method,it can be divided into the experimental group and control group,20 cases each.The patients in the experimental group were treated with PFNA,and the treatment of the patients with the control group was dissected,and the therapeutic effect of the two groups was compared.Result:Compared with the intraoperative blood volume and operation time of the two groups,the data differences between the groups were significant and p<0.05.There was no significant difference in fracture healing time between the two groups,and p>0.05.The complications of the patients in the experimental group were significantly less than those in the control group,and the difference between groups was significant and p < 0.05.Conclusion:In patients with unstable intertrochanteric fractures using PFNA treatment,with less bleeding,fewer complications,shorter operation time,fixation,and the advantages of simple operation,is the ideal treatment of materials.