普通型与加长型股骨近端防旋髓内钉（PFN-A）治疗老龄股骨粗隆间骨折的临床研究

赵永胜; 李发东; 孟刚; $2; $2; 杨新成; 孙文喜

文章摘要

赵永胜李发东孟刚赵辉郭鑫杨新成孙文喜.普通型与加长型股骨近端防旋髓内钉（PFN-A）治疗老龄股骨粗隆间骨折的临床研究[J].实用中西医结合临床,2016,16(5):8-10

普通型与加长型股骨近端防旋髓内钉（PFN-A）治疗老龄股骨粗隆间骨折的临床研究

Clinical Study of Ordinary Type and Extended Type of Proximal Femoral Nail Anti Rotation Intramedullary Nail (PFN-A) on the Treatment of Elderly Patients with Intertrochanteric Fracture of the Femur

DOI：

中文关键词: 老龄股骨粗隆间骨折普通型PFN-A 加长型PFN-A 临床疗效

英文关键词: Intertrochanteric fracture of the femur Ordinary type PFN-A Extended type PFN-A Clinical effect

基金项目:

作者	单位
赵永胜李发东孟刚赵辉郭鑫杨新成孙文喜	新疆昌吉州中医医院

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中文摘要:

目的：观察普通型与加长型股骨近端防旋髓内钉（PFN-A）治疗老龄股骨粗隆间骨折的临床疗效。方法：选取2012年12月~2015年10月我院收治的股骨粗隆间骨折老年患者74例，分别采用普通型与加长型股骨近端防旋髓内钉（PFN-A）进行治疗。观察两组患者的手术时间、术中出血量、术后髋关节功能恢复评估情况、下地活动时间和骨折临床愈合时间。结果：两组患者的手术时间和骨折愈合时间比较，差异无统计学意义（P＞0.05）；两组的出血量比较，普通型组较加长型组出血量少，差异有统计学意义（P＜0.05）；术后1个月、3个月、6个月、12个月，对患者的髋关节功能进行Harris评分，两组比较，差异均无统计学意义（P＞0.05）；加长型组的下床活动时间明显早于普通组，差异有统计学意义（P＜0.05）。所有手术患者在术后均未出现退钉、髓内针断裂、切口感染、骨折不愈合等并发症，1例因心脑血管疾病死亡，1例因脑梗死亡，1例因血栓死亡。结论：两种方法都是治疗老年患者股骨粗隆间骨折的有效方法，相比之下加长型PFN-A更有利于患者早期下床功能锻炼，可减少卧床并发症的发生。

英文摘要:

Objective: To observe the clinical effect of ordinary type and extended type of proximal femoral nail anti rotation intramedullary nail (PFN-A) in the treatment of elderly patients with intertrochanteric fracture of the femur. Methods: From December 2012 to October 2015, 74 cases of elderly patients with intertrochanteric fracture of the femur in our hospital were divided into ordinary type group and extended type group, and they were treated with ordinary type and extended type of proximal femoral nail anti rotation intramedullary nail (PFN-A), observed the operation time, blood loss, postoperative recovery of hip function, the activity time and the fracture healing time between the two groups. Results: The difference of the operation time and fracture healing time between the two groups was not statistical significant, P＞0.05; the amount of bleeding in the ordinary type group was less than that in the extended type group, the difference was statistically significant, P＜0.05; 1 month, 3 months, 6 months, 12 months after surgery, the hip function in patients was assessed by Harris score system, compared Harris hip function score of the two groups, the difference was not statistical significant, P＞0.05; the out-of-bed activity time of the extended type group were earlier than that in the ordinary type group, the difference is statistical significant, P＜0.05. After the surgery, all the patients did not appear back nails, intramedullary nail fracture, incision infection, nonunion and other complications, 1 cases death of cardiovascular and cerebrovascular diseases after operation, 1 case died of cerebral infarction, and another case died of thrombus. Conclusion: Both of the two methods are effective way to treat femoral intertrochanteric fracture in elderly patients, the extended type of PFN-A is more favorable to the patients to get out of bed early, can reduce the occurrence of bed ridden complications.

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