股骨近端锁定钢板与股骨近端髓内钉内固定术治疗股骨粗隆下骨折患者的效果比较

目的:比较股骨近端锁定钢板(PFLP)与股骨近端髓内钉(PFN)内固定术治疗股骨粗隆下骨折患者的效果。方法:回顾性分析2018年7月至2020年7月该院收治的84例股骨粗隆下骨折患者的临床资料,依据手术方式不同分为对照组和观察组各42例。对照组采用PFLP内固定术治疗,观察组采用PFN内固定术治疗。比较两组术中出血量、手术时间、住院时间、骨折愈合时间、术后髋关节功能及不良事件发生率。结果:观察组术中出血量少于对照组,手术时间、住院时间、骨折愈合时间短于对照组,差异均有统计学意义(P<0.05);术后6个月,观察组髋关节功能优良率为95.24%(40/42),高于对照组的76.19%(32/42),差异有统计学意义(P<0.05);观察组不良事件发生率为7.14%(3/42),低于对照组的23.81%(10/42),差异有统计学意义(P<0.05)。结论:与PFLP内固定术相比,PFN内固定术治疗股骨粗隆下骨折效果确切,能够缩短手术时间、住院时间、骨折愈合时间,减少术中出血量,提高患者术后髋关节功能,降低术后不良事件发生率。

Comparison of effects of proximal femur locking plate and proximal femur intramedullary nail internal fixation in treatment of patients with femoral subtrochanteric fractures

Objective:To compare effects of proximal femur locking plate(PFLP)and proximal femur intramedullary nail(PFN)internal fixation in treatment of patients with femoral subtrochanteric fractures.Methods:A retrospective analysis of the clinical data of 84 patients with femoral subtrochanteric fractures admitted to our hospital from July 2018 to July 2020 was performed.According to different surgical methods,they were divided into control group and observation group,each with 42 cases.The control group was treated with PFLP internal fixation,while the observation group was treated with PFN internal fixation.The intraoperative blood loss,the operation time,the hospitalization time,the fracture healing time,the postoperative hip function and the occurrence of adverse events were compared between the two groups.Results:The intraoperative blood loss of the observation group was less than that of the control group;the operation time,the hospitalization time,and the fracture healing time were shorter than those of the control group;and the differences were statistically significant(P<0.05).6 months after the surgery,the excellent and good rate of hip joint function in the observation group was 95.24%(40/42),which was higher than 76.19%(32/42)in the control group,and the difference was statistically significant(P<0.05).Further,the incidence of adverse events in the observation group was 7.14%(3/42),which was lower than 23.81%(10/42)in the control group,and the difference was statistically significant(P<0.05).Conclusions:Compared with PFLP internal fixation,PFN internal fixation has a definite effect in the treatment of femoral subtrochanteric fractures,which can shorten the operation time,the hospitalization time,the fracture healing time,reduce the intraoperative blood loss,improve the postoperative hip joint function,and reduce the postoperative adverse events incidence rate.