PFLP与PFNA内固定治疗老年股骨粗隆间骨折疗效分析(1)
摘 要：目的 探討股骨近端解剖型锁定板与股骨近端髓内钉内固定治疗老年股骨粗隆间骨折的临床疗效。方法 回顾性分析自2015年5月～2017年6月我院诊治的70列老年股骨粗隆间骨折，按就诊的先后顺序随机分为两组，采用PFLP内固定32例，采用PFNA内固定38例。所有患者记录骨折愈合时间、术后并发症，并行Harris髋关节功能评分。结果 所有患者获得随访6～12个月。所有患者都获得骨性合愈，愈合时间3～6个月，平均5个月。PFNA组手术时间及术中出血量均少于PFLP组，差异有统计学意义(P<0.05)；两组骨折愈合时间、患肢完全负重时间、住院时间比较，差异无统计学意义(P>0.05)。PFNA组术后6周按髋关节功能Harris评分优良率89.47%，优于PFLP组87.50%，差异有统计学意义(P<0.05)。结论 PFNA内固定相比PFLP内固定优势略为明显，但两者都具有操作简单，复合生物力学固定原则，术后并发症少，疗效肯定的特点，临床上应根据骨折的具体情况与术者对固定方法的熟练程度灵活选择运用。
关键词：老年股骨粗隆间骨折；PFLP；PFNA；内固定
, 百拇医药
中图分类号：R687.3 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.15.025
文章编号：1006-1959(2018)15-0082-04
PFLP and PFNA Internal Fixation for the Treatment of Intertrochanteric Fractures in the Elderly
WU Zhi-zhong，LI Sheng-guo，WANG Xi，ZHU Hui，HUANG Guo-ping，REN Zuo-yu
(Department of Orthopedics，Wuwei Hospital of Traditional Chinese Medicine，Wuwei 733000，Gansu，China)
, 百拇医药
Abstract：Objective To compare the therapeutic effects of anatomical locking plate and proximal femoral nail in the treatment of intertrochanteric fracture in the elderly.Methods From May 2015 to June 2017，70 elderly intertrochanteric fracture of femur were analyzed retrospectively.According to the order of treatment， they were randomly divided into two groups：32 cases were treated with PFLP internal fixation，38 cases were treated with PFNA internal fixation.Fracture healing time，postoperative complications and Harris score of hip joint function were recorded in all patients.Results All patients were followed up for 6 to12 months.All patients achieved bony union.The healing time was 3 to 6 months，with an average of 5 months.The operative time and intraoperative blood loss in group PFNA were less than those in group PFLP，the difference was statistically significant(P<0.05).There was no significant difference in fracture healing time，full weight-bearing time of the affected limb and length of stay between the two groups(P>0.05).The excellent and good rate of Harris score of hip joint function in PFNA group was 89.47%，which was superior to that in PFLP group 87.5%，the difference was statistically significant(P<0.05).Conclusion The advantages of PFNA internal fixation are more obvious than that of PFLP，but both have the characteristics of simple operation，complex biomechanical fixation principle，less postoperative complications and positive curative effect.According to the specific condition of fracture and the skillful degree of fixation，we should choose and use it flexibly., 百拇医药(吴志忠 李生国 王玺 朱辉 黄国平 任作玉)
关键词：老年股骨粗隆间骨折；PFLP；PFNA；内固定
, 百拇医药
中图分类号：R687.3 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.15.025
文章编号：1006-1959(2018)15-0082-04
PFLP and PFNA Internal Fixation for the Treatment of Intertrochanteric Fractures in the Elderly
WU Zhi-zhong，LI Sheng-guo，WANG Xi，ZHU Hui，HUANG Guo-ping，REN Zuo-yu
(Department of Orthopedics，Wuwei Hospital of Traditional Chinese Medicine，Wuwei 733000，Gansu，China)
, 百拇医药
Abstract：Objective To compare the therapeutic effects of anatomical locking plate and proximal femoral nail in the treatment of intertrochanteric fracture in the elderly.Methods From May 2015 to June 2017，70 elderly intertrochanteric fracture of femur were analyzed retrospectively.According to the order of treatment， they were randomly divided into two groups：32 cases were treated with PFLP internal fixation，38 cases were treated with PFNA internal fixation.Fracture healing time，postoperative complications and Harris score of hip joint function were recorded in all patients.Results All patients were followed up for 6 to12 months.All patients achieved bony union.The healing time was 3 to 6 months，with an average of 5 months.The operative time and intraoperative blood loss in group PFNA were less than those in group PFLP，the difference was statistically significant(P<0.05).There was no significant difference in fracture healing time，full weight-bearing time of the affected limb and length of stay between the two groups(P>0.05).The excellent and good rate of Harris score of hip joint function in PFNA group was 89.47%，which was superior to that in PFLP group 87.5%，the difference was statistically significant(P<0.05).Conclusion The advantages of PFNA internal fixation are more obvious than that of PFLP，but both have the characteristics of simple operation，complex biomechanical fixation principle，less postoperative complications and positive curative effect.According to the specific condition of fracture and the skillful degree of fixation，we should choose and use it flexibly., 百拇医药(吴志忠 李生国 王玺 朱辉 黄国平 任作玉)