两种髓内钉内固定治疗骨质疏松性股骨转子间骨折的疗效分析

目的:比较骨质疏松患者股骨近端髓内钉(proximal femoral nail,PFN)与防旋股骨近端髓内钉(proximal femo-ral nail antirotation,PFNA)两种内固定方法治疗股骨转子间骨折的临床效果。方法:将62例骨质疏松性股骨转子间骨折患者按照手术方式分为PFN组和PFNA组,其中PFN组41例,PFNA组21例,通过查阅病历回顾性分析两组的手术资料和术后功能恢复情况进行比较。结果:PFNA组的手术时间、术中出血量、骨折愈合时间及住院时间均优于PFN组,差异有统计学意义(P<0.05);且两组优良率差异有统计学意义(χ2=4.07,P<0.05)。结论:PFNA治疗骨质疏松性股骨转子间骨折的创伤小、疗效好,是治疗骨质疏松性股骨转子间骨折理想的内固定方式。

Analysis the Efficacy of Two Kinds of Intramedullary Nail Fixation Treatment of Osteoporotic Peritrochanteric Fracture

Objective:To compare the treatment effectiveness of proximal femoral nail(PFN) and proximal femoral nail antirotation in treatment of intertrochanteric fractures.Methods:62 patients with osteoporotic peritrochanteric fracture according to the operation method is divided into PFN group and PFNA groups,among which PFN group in 41 cases,21 cases PFNA group,by looking at the medical records retrospective analysis of two groups of operation data and function recovery after comparison.Results:The time of operation,bone healing,hospital stay,and amount of bleeding of PFNA group were superior to that of PFN group,the difference was statistically significant(P<0.05);the excellence rate of two groups was significant difference(χ2=4.07,P<0.05).Conclusion:PFNA in the treatment of osteoporotic peritrochanteric fracture with little trauma,effective,and is ideal for treatment of osteoporotic peritrochanteric fracture fixation.