2025年4月5日 星期六
首页        期刊介绍        编委会        投稿指南        期刊订阅        广告合作        联系我们        English
河北医学  2019, Vol. 25 Issue (1): 155-159    DOI: 10.3969/j.issn.1006-6233.2019.01.039
  临床研究 本期目录 | 过刊浏览 | 高级检索 |
闭合复位PFNA内固定在老年骨质疏松性股骨粗隆部骨折的应用效果分析
徐海乔, 林世磅, 张伟斌
广东省茂名市人民医院骨外三科, 广东 茂名 525000
Closed Reduction and PFNA Internal Fixation for Osteoporotic Femoral Intertrochanteric Fractures in the Elderly
XU Haiqiao, LIN Shibang, ZHANG Weibin
Maoming People's Hospital, Guangdong Maomin 525000, China
全文: PDF (1213 KB)   HTML (1 KB) 
输出: BibTeX | EndNote (RIS)      
摘要 目的:探讨闭合复位防旋髓内钉(PFNA)内固定治疗老年骨质疏松性股骨粗隆部骨折患者效果。方法:选取2015年8月至2016年7月老年骨质疏松性股骨粗隆部骨折患者98例,根据随机数表法分为PFEN组(n=50)和对照组(n=48),PFNA组闭合复位PFNA内固定治疗,对照组给予动力髋螺钉治疗。比较两组患者治疗后优良率,记录患者手术相关指标情况,比较术后4周、8周、12周Lane-Sandhu X射线断端骨痂生长评分、ADL评分变化以及患者术前、术后生活质量评分变化,比较并发症发生率。结果:PFNA组患者手术时间、骨折愈合时间、住院时间均分别短于对照组(P<0.05);PFNA组患者术中出血量低于对照组,髋关节功能评分高于对照组,(P<0.05);治疗后,PFNA组患者优良率高于对照组(94.00%vs70.83% P<0.05)。PFNA组术后8周、12周Lane-Sandhu X射线断端骨痂生长评分、ADL评分高于对照组(P<0.05);且PFNA组术后生活质量评分高于对照组(P<0.05)。治疗期间,两组患者均有出现内固定断裂、延迟愈合、愈合畸形、切口感染、切口肿胀等并发症,PFNA组患者总发生率低于对照组(10.00% vs 29.17% P<0.05)。结论:给予老年骨质疏松性股粗隆部骨折患者闭合复位PFNA治疗,可促进患者骨折愈,改善髋关节功能,缩短患者住院时间,且并发症发生率低,安全性高,有效改善患者生活质量,疗效显著。
服务
把本文推荐给朋友
加入我的书架
加入引用管理器
E-mail Alert
RSS
作者相关文章
徐海乔
林世磅
张伟斌
关键词 骨质疏松性股骨粗隆部骨折髋关节闭合复位防旋髓内钉内固定    
AbstractObjective: To investigate the effect of closed reduction and anti rotation intramedullary nail (PFNA) internal fixation in the treatment of osteoporotic femoral trochanteric fracture in the elderly. Methods: 98 cases of senile osteoporotic fracture of femoral trochanter were divided into PFEN group (n=50) and control group (n=48), PFNA group closed reduction PFNA internal fixation treatment, the control group was given dynamic hip screw treatment. Comparing the excellent and good rate of the two groups after treatment, recording the related indicators of the patients, comparing the Lane-Sandhu X-ray callus growth score, ADL score changes and the quality of life score changes before and after surgery, comparing the incidence of complications. Results: The operation time, fracture healing time and hospitalization time of PFNA group were shorter than those of control group (P<0.05). The bleeding volume and hip function score of PFNA group were lower than those of control group (P<0.05), and the excellent and good rate of PFNA group was higher than that of control group (94.00% vs 70.83% P<0.05). The Lane-Sandhu X-ray callus growth score and ADL score of PFNA group were higher than those of control group at 8 and 12 weeks after operation (P<0.05), and the quality of life score of PFNA group was higher than that of control group (P<0.05). During the treatment, complications such as internal fixation breakage, delayed union, malunion, wound infection and wound swelling occurred in both groups. The total incidence of PFNA group was lower than that of control group (10.00% vs 29.17% P<0.05). Conclusion: Closed reduction and PFNA treatment for elderly patients with osteoporotic femoral trochanteric fracture can promote fracture healing, improve hip function and shorten hospitalization time. And the incidence of complications is low; the safety is high; the quality of life of patients is effectively improved; and the curative effect is remarkable.
Key wordsOsteoporotic femoral trochanteric fracture    Hip joint    Closed reduction    Internal fixation with anti rotation intramedullary nail
    
基金资助:广东省茂名市科技计划项目,(编号:180324131700492)
通讯作者: 林世磅   
引用本文:   
徐海乔, 林世磅, 张伟斌. 闭合复位PFNA内固定在老年骨质疏松性股骨粗隆部骨折的应用效果分析[J]. 河北医学, 2019, 25(1): 155-159.
XU Haiqiao, LIN Shibang, ZHANG Weibin. Closed Reduction and PFNA Internal Fixation for Osteoporotic Femoral Intertrochanteric Fractures in the Elderly. HeBei Med, 2019, 25(1): 155-159.
链接本文:  
http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2019.01.039     或     http://www.hbyxzzs.cn/CN/Y2019/V25/I1/155
冀ICP备2025106803号    冀公网安备13080202000786号
版权所有 © 2016 《河北医学》杂志社
本系统由北京玛格泰克科技发展有限公司设计开发