摘要
目的分析比较人工股骨头置换术及股骨近端防旋髓内钉(PFNA)内固定治疗老年不稳定型股骨粗隆间骨折的临床疗效,探讨其合理治疗方法。方法随机选择本院2008年5月～2011年5月老年不稳定型股骨粗隆间骨折患者40例,分别行PFNA内固定与人工股骨头置换术各20例,比较两组治疗效果。结果 PFNA组与人工股骨头置换组优良率均为95.0%,两组比较差异无统计学意义(P>0.05),两组手术时间、术中出血有所差异,但无统计学意义(P>0.05)。结论人工股骨头置换术与PFNA内固定均为治疗老年不稳定型股骨粗隆骨折的有效方法,术前结合年龄、骨折类型、骨质疏松症、合并症等因素,选择合理的手术方法,提高手术疗效,是治疗不稳定型股骨粗隆间骨折的关键所在。
Objective To analyze the clinical effect of femoral head arthroplasty and proximal femoral nail antirotation in the treatment of unstable intertrochanteric femoral fracture of elderly patients, and discuss the reasonable treatment. Methods Forty elderly patients with unstable intertrochanteric femoral fracture in our hospital from May 2008 to May 2011 were selected and divided into two groups with 20 cases respectively. Two groups were given proximal femoral nail antirotation and femoral head arthroplasty respectively, the therapeutic effect of two groups were compared. Results Both of the good rate of PFNA group and femoral head arthroplasty group were 95.0%, there was no significant difference （P 〉 0.05）, the op- eration time, intraoperatie bleeding of the two groups has difference, but there was not statistically significant （P 〉 0.05）. Conclusion Both of femoral head arthroplasty and proximal femoral nail antirotation are good methods in the treatment of unstable intertrochanteric femoral fracture, we should choose reasonable operation method with some factors such as age, fracture types, osteoporosis and complications, in order to improve the clinical effect, which is the key to treat unstable in- tertrochanteric femoral fracture.
出处
《中国当代医药》
2012年第22期45-46,48,共3页
China Modern Medicine
关键词
不稳定型股骨粗隆间骨折
股骨近端防旋髓内钉
人工股骨头置换
老年患者
Unstable intertrochanteric femoral fracture
Proximal femoral nail antirotation
Femoral head arthroplasty
El- derly patients
