Russell-Taylor短重建钉、PFNA治疗骨质疏松股骨粗隆间骨折临床疗效对比观察

目的 探讨Russell- Taylor短重建钉、PFNA治疗骨质疏松股骨粗隆间骨折的临床效果.方法 回顾性分析86例Russell-Taylor短重建钉、PFNA治疗骨质疏松股骨粗隆间骨折患者,统计骨折的分型、手术时间、术中出血量、术后疗效及并发症.结果 两组患者在手术时间及术中出血量上经比较差异无统计学意义.两组间手术后骨折愈合的比率和质量有统计学意义.结论 Russell-Taylor短重建钉、PFNA均是治疗骨质疏松股骨粗隆间骨折的有效方法,但后者更具有一定的优势.

Russell-Taylor reconstruction nails versus PFNA in the treatment of osteoporosis intertrochanteric fracture

ObJective To explore the efficacy of Russell-Taylor reconstruction nails versus that of PFNA in the treatment of intertrochanteric fractures. Methods The data on 86 patients receiving Russell-Taylor reconstruction nails or PFNA were retrospectively analyzed. The types of fracture, surgical duration, intraoperative bleeding volume, efficacy of the procedures, and complications were recorded. Results There were no significant differences between the two groups in surgical duration and intraoperative bleeding volume. The rate and quality of fracture healing differed significantly between the two groups. Conclusions Both Russell-Taylor reconstruction nails and PFNA are the effective method for intertrochanteric fractures of, but the former procedure has more advantage.