两种治疗高龄股骨粗隆间骨折方式的疗效分析

目的 探讨人工股骨头置换和PFNA内固定在高龄股骨粗隆间骨折中的临床疗效.方法 将85例75岁以上的股骨粗隆间骨折患者随机分为两组,A组(44例)为人工股骨头置换组,B组(41例)为PFNA内固定组.随访8～ 38个月(平均19.6个月),使用Harris评分标准评价术后髋关节功能.结果 A组44例患者,优36例、良5例、可2例,差1例,优良率93.2％;B组41例患者,优30例、良5例、可4例、差2例,优良率85.4％;两组比较差异有统计学意义(P=0.0142).结论 人工股骨头置换治疗高龄股骨粗隆间骨折有更好的疗效,值得推广.

Curative effect of two kinds of methods in the treatment of femoral intertrochanteric fracture in the elderly

Objective To compare the clinical efficacy of femoral head prosthesis replacement and proximal femoral nail antirotation (PFNA) internal fixation in femoral intertrochanteric fracture in the elderly.Methods 85 patients with femoral intertrochanteric fracture over 75 years old were randomly divided into two groups.44 cases in group A underwent femoral head prosthesis replacement,while 41 cases in group B underwent PFNA internal fixation.All patients were followed up for 8-38 months postoperatively (the average of 19.6 months).Evaluated the function of hip joint with the Harris standard.Result The excellent and good rate of group A was 93.2％,that of group B was 85.4％,with statistically significant difference between two groups (P=0.0142).Conclusion Femoral head prosthesis replacement in the treatment of femoral intertrochanteric fracture in the elderly has obvious advantages.