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PFNA和InterTan方法治疗老年股骨粗隆间骨折的疗效分析
引用本文:任捷,尹昆. PFNA和InterTan方法治疗老年股骨粗隆间骨折的疗效分析[J]. 现代保健, 2013, 0(23): 6-8
作者姓名:任捷  尹昆
作者单位:山西医科大学第二附属医院,山西太原030006
摘    要:目的:探讨两种髓内固定方法对老年股骨粗隆间骨折治疗的优缺点及疗效。方法:回顾性分析本院2009年7月-2012年12月收入院的102例老年股骨粗隆间骨折患者的手术治疗情况,其中采用InterTan治疗52例,PFNA治疗50例。对手术时间、术中出血量、骨折愈合时间、围手术期并发症进行对比分析,随访采用Harris评分标准对髋关节功能进行评估。结果:两组患者在手术时间、骨折愈合时间等方面比较差异均无统计学意义(P〉0.05),InterTan组较PFNA组术中出血量少、围手术期并发症少、Harris评分高(P〈0.05)。结论:InterTan法具有术中出血量少,术后并发症少,髋关节功能恢复好等优势,更适合粉碎性、复杂及合并骨质疏松的股骨粗隆间骨折的年老体弱患者使用。

关 键 词:股骨粗隆间骨折  内固定  InterTan  PFNA

PFNA and InterTan in Treating Senile Intertrochanteric Fractures
REN Jie,YIN Kun. PFNA and InterTan in Treating Senile Intertrochanteric Fractures[J]. , 2013, 0(23): 6-8
Authors:REN Jie  YIN Kun
Affiliation:The Second Aff'diated Hospital of Shanxi Medical University, Taiyuan 030006, China
Abstract:Objective: To investigate the advantages and disadvantages and efficacy of two kinds of intertrochanteric fracture fixation.Method: 102 cases of intertrochanteric fractures treated by operation were analyzed.50 cases were treated by PFNA and 52 cases were treated by InlerTan.Result: There were no significant differences in operation time, length of stay, time of fracture union and function of hip joint between the two groups ( P〈O.05 ) . The InterTan had less blood loss , fewer complications, higherHarris.Conclusion: InterTan is a safe and effective treatment of intertrochanteric fractures for the elders, especially combined with osteoporosis patients.
Keywords:Intertrochanteric fractures  Internal fixation  PFNA  InterTan
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