PFNA与生物型人工股骨头置换术治疗老年不稳定型粗隆间骨折临床疗效观察(1)
摘 要：目的 評价PFNA与生物型人工股骨头置换术治疗老年不稳定型粗隆间骨折的临床疗效。方法 回顾性分析2012年1月～2015年12月采用不同术式治疗老年不稳定型粗隆间骨折患者35例，依据不同术式将35例患者分为两组，其中PFNA术28例，人工股骨头置换术7例。从手术时间、术中出血量、术后负重时间、术后Harris评分对两种术式进行比较。结果 随访12～24个月，PFNA28例，生物型人工股骨头置换术7例，两种术式在手术时间、术中出血量、术后引流量、下床活动时间上差异无统计学意义(P>0.05)，但术后Harris评分PFNA术高于人工股骨头置换术，组间比较差异具有统计学意义(P<0.05)。结论 PFNA术与人工股骨头置换术治疗老年不稳定型粗隆间骨折临床疗效基本一致，但PFNA能使患者在早期随访中获得更高的Harris评分。
关键词：PFNA；生物型人工股骨头置换术；粗隆间骨折；不稳定
中图分类号：R687.3 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.06.027
, 百拇医药
文章编号：1006-1959(2018)06-0087-03
Clinical Observation of PFNA and Biological Artificial Femoral Head Replacement in the Treatment of Unstable Intertrochanteric Fractures in the Elderly
YU Yang1，TAN Biao2，YANG Shi-peng2，SUN Yuan3
(1.Department of Clinical Medicine，Chengdu University of Traditional Chinese Medicine/Department of Orthopaedics，Affiliated Hospital，Chengdu 610075，Sichuan，China；
, http://www.100md.com
2.Chengdu University of Chinese Medicine，Chengdu 610075，Sichuan，China；
3.Beijing University of Chinese Medicine，Beijing 100029，China)
Abstract：Objective To evaluate the clinical efficacy of PFNA and biological artificial femoral head replacement in the treatment of unstable intertrochanteric fractures in the elderly.Methods 35 patients with unstable intertrochanteric fractures were treated with different surgical methods from January 2012 to December 2015.According to different operation methods，35 patients were divided into two groups，including 28 cases of PFNA operation and 7 cases of artificial femoral head replacement.The two methods were compared from the operation time，the amount of bleeding in the operation，the time of post operation weight negative，and the Harris score after operation.Results The follow-up of 12～24 months，PFNA28 cases，7 cases of biological artificial femoral head replacement， two kinds of operation in the operation time，intraoperative bleeding volume，postoperative drainage，ambulation time had no significant difference(P>0.05)，but the postoperative Harris score was higher than that of PFNA with artificial femoral head replacement，the differences between groups were statistically significant(P<0.05).Conclusion The clinical efficacy of PFNA and artificial femoral head replacement in the treatment of unstable intertrochanteric fractures in elderly patients is basically the same，but PFNA can make the patients get a higher Harris score in early follow-up.
Key words：PFNA；Biological artificial femoral head replacement；Intertrochanteric fracture；Instability, 百拇医药(余洋 谭彪 杨世鹏 孙瑗)
关键词：PFNA；生物型人工股骨头置换术；粗隆间骨折；不稳定
中图分类号：R687.3 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.06.027
, 百拇医药
文章编号：1006-1959(2018)06-0087-03
Clinical Observation of PFNA and Biological Artificial Femoral Head Replacement in the Treatment of Unstable Intertrochanteric Fractures in the Elderly
YU Yang1，TAN Biao2，YANG Shi-peng2，SUN Yuan3
(1.Department of Clinical Medicine，Chengdu University of Traditional Chinese Medicine/Department of Orthopaedics，Affiliated Hospital，Chengdu 610075，Sichuan，China；
, http://www.100md.com
2.Chengdu University of Chinese Medicine，Chengdu 610075，Sichuan，China；
3.Beijing University of Chinese Medicine，Beijing 100029，China)
Abstract：Objective To evaluate the clinical efficacy of PFNA and biological artificial femoral head replacement in the treatment of unstable intertrochanteric fractures in the elderly.Methods 35 patients with unstable intertrochanteric fractures were treated with different surgical methods from January 2012 to December 2015.According to different operation methods，35 patients were divided into two groups，including 28 cases of PFNA operation and 7 cases of artificial femoral head replacement.The two methods were compared from the operation time，the amount of bleeding in the operation，the time of post operation weight negative，and the Harris score after operation.Results The follow-up of 12～24 months，PFNA28 cases，7 cases of biological artificial femoral head replacement， two kinds of operation in the operation time，intraoperative bleeding volume，postoperative drainage，ambulation time had no significant difference(P>0.05)，but the postoperative Harris score was higher than that of PFNA with artificial femoral head replacement，the differences between groups were statistically significant(P<0.05).Conclusion The clinical efficacy of PFNA and artificial femoral head replacement in the treatment of unstable intertrochanteric fractures in elderly patients is basically the same，but PFNA can make the patients get a higher Harris score in early follow-up.
Key words：PFNA；Biological artificial femoral head replacement；Intertrochanteric fracture；Instability, 百拇医药(余洋 谭彪 杨世鹏 孙瑗)