半髋关节置换与防旋型股骨近端髓内钉治疗高龄不稳定型股骨粗隆间

半髋关节置换与防旋型股骨近端髓内钉治疗高龄不稳定型

股骨粗隆间骨折的疗效对比

庞向华;欧兆强;欧阳建江

【期刊名称】《重庆医学》 【年(卷),期】2013(042)010

【摘要】目的 对比两种术式治疗高龄不稳定型股骨粗隆间骨折的临床疗效.方法 分别应用半髋关节置换与防旋型股骨近端髓内钉(PFNA)治疗高龄不稳定型股骨粗隆间骨折患者36例及39例,比较两种术式的疗效.结果 PFNA组手术时间、出血量、引流量及早期并发症发生率均优于半髋组,差异有统计学意义(P＜0.05,P＜0.01),半髋组患肢负重时间、髋关节功能优良率及晚期并发症发生率均优于PFNA组,差异有统计学意义(P＜0.05,P＜0.01).结论半髋关节置换适用于骨质疏松严重、内科疾病少,身体情况好的患者,但早期并发症较多；对于身体素质差,内科疾病多的患者,可选择PFNA治疗,但晚期并发症多,应注重抗骨质疏松治疗及适当延长患肢负重时间.%Objective To compare the clinical efficacy of two operation methods for unstable intertrochanteric fracture. Methodsrn36 cases of unstable intertrochanteric fractures were treated with

hemiarthroplasty

while

39

cases

were

treated

with

proximalrnfemoral nail anti-rotation(PFNA) , and then efficacy comparison was made between the two treated groups. Results The operationrntime,blood lost,drainage volume after operation and early complication incidence rate in PFNA group were all better than the grouprnof hemiarthroplasty;the hemiarthroplasty group excelled the