经皮加压钢板和动力髋螺钉治疗股骨粗隆间骨折的疗效比较

目的分析比较经皮加压钢板(PCCP)和动力髋螺钉(DHS)治疗股骨粗隆间骨折的临床疗效。方法回顾性分析2009年5月至2013年10月接受PCCP或DHS内固定治疗且具有完整资料的52例股骨粗隆间骨折,其中PCCP内固定组24例,DHS内固定组28例。对两组手术切口长度、手术时间、术中出血量、输血量、骨折愈合时间、术后并发症、髋关节功能进行评价。结果 52例患者术后随访8~23个月,平均16个月。DHS组Harris评分平均80.4分,PCCP组Harris评分平均90.2分。PCCP组在手术切口长度、手术时间、术中出血量、输血量、骨折愈合时间、术后并发症、术后髋关节Harris评分均显著优于DHS组。结论与DHS固定相比,PCCP具有创伤小、骨折愈合快、术后并发症发生率低、髋关节功能恢复好等优点,是一种较好的治疗股骨粗隆间骨折的内置物。

A comparative study on the efficacy of percutaneous compression plating and dynamic hip screw in treatment of intertrochanteric hip fracture

Objective To compare the therapeutic effect of percutaneous compression plating（ PCCP） and dynamic hip screw（ DHS） in treatment of patients with femoral intertrochanteric fracture. Methods The clinical data of 52 senile patients with intertrochanteric hip fracture were retrospectively analyzed,they were treated with PCCP or DHS fixation during May 2009 to October 2013,and 24 of them were treated with PCCP and 28 with DHS. The incision length,operating time,intraoperative blood loss,amount of blood transfusion,time of bone union,complications,and postoperative hip function were evaluated. Results All these 52 patients were followed up for 8 to 23 months,with an average of 16 months. Harris scores of 28 patients treated by DHS were 80. 4 points and those of 24 patients treated by PCCP were 90. 2 points. Patients in PCCP group had shorter length of incision,shorter operating time,less amount of bleeding,less blood transfusion,more rapid healing,less complications and higher Harris hip scores in comparison with those of DHS group（ P〈0. 05）. Conclusion In comparison with DHS,PCCP has advantages of 1ess trauma,more rapid healing,lower incidence of complications and better recovery of hip joint function,hence it is a good choice for treatment of patients with femoral intertrochanteric fracture.