Objective The purpose of this study is to observe the difference of the six-month mortality,complications and function recovery between the skeletal traction group and DHS group.Methods This retrospective study was un...Objective The purpose of this study is to observe the difference of the six-month mortality,complications and function recovery between the skeletal traction group and DHS group.Methods This retrospective study was undergone in the department of orthopaedics of Longhua hospital.According to the methods of tareatment,87 cases were divided into two groups:skeletal traction group and DHS group.To comapare the rate of six-month moaality,general complications(which include pulmonary infeetion,bed-sore,minary infection and deep venous thrombosis)and coxa yams between the two groups,while the Harris hip score in the third month and sixth month after injury were also compared.Reuslt ①About the rate of six-month momdity,there was one case(2.27%) in the skeletal traction group,and one ease also(2.33%) in the DHS group,there was no difference between the two groups.(P=1.0) ②About the rate of general complications,there were 15 cases(34.09%) in the skeletal traction group,and 14 cases(32.56%) in the DHS group,there was no difference between the two groups.(P=0.879) ③About the rate of coxa varus,there were seven eases (16.28%) in the skeletal traction group,and one ease(2.38%)in the DHS group,there was no difference between the two groups.(P=0.068).But for the unstable intertrochantefic fractures,there were seven cases out of 29(24.14%)in the skeletal traction group,and one case out of 31 (3.23%),these showed that the rate of coxa yams is higher in the skeletal traction group than in the DHS group.(P=0.045) ④In the third month after injury,the Harris hip score was 52.99±4.86 in the skeletal traction group,and 65.87±3.39 in the DHS group,these showed that the Harris hip score is higher in the DHS group than in the skeletal traction group(P<0.0001).While in the sixth month after injury,the Harris hip score was 84.44±5.79 in the skeletal traction group,and 85.69±4.07 in the DHS group,these showed that there was no difference between the two groups(P=0.254).Conclusion ① A low mortality and complications morbidity could be found in the treatment of intearochanteric fractures in aged patients by the skeletal traction associated with careful nursing.②For the unstable fratures,compared to the DHS fLxation the conservative method may get higher rate of the coxa varus.③Although the operative fixation is the first choice for the treatment of the intertreehanterie fractures in aged patients,the skeletal traction method are not to be out of date thoroughly.展开更多
目的：比较动力髋部螺钉（ Dynamic Hip Screw ，DHS）和股骨近端锁定髓内钉（ Proximal Femoral Nail Antirotation ，PF-NA）治疗股骨粗隆间骨折的临床效果。方法：选取90例股骨粗隆间骨折患者，随机分为2组，PFNA组和DHS组，各45例...目的：比较动力髋部螺钉（ Dynamic Hip Screw ，DHS）和股骨近端锁定髓内钉（ Proximal Femoral Nail Antirotation ，PF-NA）治疗股骨粗隆间骨折的临床效果。方法：选取90例股骨粗隆间骨折患者，随机分为2组，PFNA组和DHS组，各45例，分别行PFNA术和DHS术。观察统计2组患者术中出血量、手术时间、切口长度，同时记录下床时间、住院时间、骨折愈合时间；随访1年，记录典型并发症。另外以Harris评分法于入院前、1个月、2个月、3个月时行髋关节功能评分。结果：（1）除手术时间无显著差异外，PFNA组其他各指标均明显优于DHS组，并发症发生率显著少于DHS组，P＜0．05，差异有统计学意义。（2）入院时髋关节功能评分无显著差异，1个月、2个月、3个月时PFNA组评分显著高于DHS组，组间比较，差异显著。结论：PFNA治疗股骨粗隆间骨折临床疗效更好，髋关节功能恢复速度更快，不良反应少，并且手术创伤少，可保证患者预后质量，值得临床推广应用。展开更多
文摘Objective The purpose of this study is to observe the difference of the six-month mortality,complications and function recovery between the skeletal traction group and DHS group.Methods This retrospective study was undergone in the department of orthopaedics of Longhua hospital.According to the methods of tareatment,87 cases were divided into two groups:skeletal traction group and DHS group.To comapare the rate of six-month moaality,general complications(which include pulmonary infeetion,bed-sore,minary infection and deep venous thrombosis)and coxa yams between the two groups,while the Harris hip score in the third month and sixth month after injury were also compared.Reuslt ①About the rate of six-month momdity,there was one case(2.27%) in the skeletal traction group,and one ease also(2.33%) in the DHS group,there was no difference between the two groups.(P=1.0) ②About the rate of general complications,there were 15 cases(34.09%) in the skeletal traction group,and 14 cases(32.56%) in the DHS group,there was no difference between the two groups.(P=0.879) ③About the rate of coxa varus,there were seven eases (16.28%) in the skeletal traction group,and one ease(2.38%)in the DHS group,there was no difference between the two groups.(P=0.068).But for the unstable intertrochantefic fractures,there were seven cases out of 29(24.14%)in the skeletal traction group,and one case out of 31 (3.23%),these showed that the rate of coxa yams is higher in the skeletal traction group than in the DHS group.(P=0.045) ④In the third month after injury,the Harris hip score was 52.99±4.86 in the skeletal traction group,and 65.87±3.39 in the DHS group,these showed that the Harris hip score is higher in the DHS group than in the skeletal traction group(P<0.0001).While in the sixth month after injury,the Harris hip score was 84.44±5.79 in the skeletal traction group,and 85.69±4.07 in the DHS group,these showed that there was no difference between the two groups(P=0.254).Conclusion ① A low mortality and complications morbidity could be found in the treatment of intearochanteric fractures in aged patients by the skeletal traction associated with careful nursing.②For the unstable fratures,compared to the DHS fLxation the conservative method may get higher rate of the coxa varus.③Although the operative fixation is the first choice for the treatment of the intertreehanterie fractures in aged patients,the skeletal traction method are not to be out of date thoroughly.
文摘目的：比较动力髋部螺钉（ Dynamic Hip Screw ，DHS）和股骨近端锁定髓内钉（ Proximal Femoral Nail Antirotation ，PF-NA）治疗股骨粗隆间骨折的临床效果。方法：选取90例股骨粗隆间骨折患者，随机分为2组，PFNA组和DHS组，各45例，分别行PFNA术和DHS术。观察统计2组患者术中出血量、手术时间、切口长度，同时记录下床时间、住院时间、骨折愈合时间；随访1年，记录典型并发症。另外以Harris评分法于入院前、1个月、2个月、3个月时行髋关节功能评分。结果：（1）除手术时间无显著差异外，PFNA组其他各指标均明显优于DHS组，并发症发生率显著少于DHS组，P＜0．05，差异有统计学意义。（2）入院时髋关节功能评分无显著差异，1个月、2个月、3个月时PFNA组评分显著高于DHS组，组间比较，差异显著。结论：PFNA治疗股骨粗隆间骨折临床疗效更好，髋关节功能恢复速度更快，不良反应少，并且手术创伤少，可保证患者预后质量，值得临床推广应用。
