Abstract：Objective: To observe the effect of dynamic hip screw (DHS) and proximal femoral intramedullary screw (PFNA) on perioperative index and hip function in patients with intertrochanteric fracture of femur. Methods: 106 patients with intertrochanteric fracture of the femur admitted to our hospital from May 2017 to May 2019 were selected. They were divided into control groups (N = 53) and observation groups (N = 53) according to the random digital method. The control group used DHS treatment. The observation group used PFNA treatment. The clinical efficacy, operation time, post-operative weight loading time, hospitalization time, fracture healing time, hip function (Harris) score, Bartel index and complication incidence were compared between the two groups. Results: The total effective rate of 92.45 % was significantly higher than that of the control group 73.58 % (P<0.05) ; The time of operation, weight loading, hospitalization and fracture healing were all significantly shorter in the observation group than in the control group, and the amount of bleeding in the operation was less than in the control group (P<0.05) ; The Harris score and Bartel index of the post-treatment observation group were significantly higher than those of the control group (P<0.05) ; The incidence of complications in the observation group was 7.55 % significantly lower than 28.30 % in the control group (P<0.05). Conclusion: PFNA is effective in the treatment of intertrochanteric fractures of the femur. It can improve hip joint function and self-care ability, and has higher safety, which is beneficial to promote patient prognosis.
陈诚, 彭俊才, 苏勇. 动力髋螺钉与股骨近端抗旋髓内钉治疗股骨粗隆间骨折患者围术期指标髋关节功能的影响[J]. 河北医学, 2020, 26(3): 415-417.
CHEN Cheng, PENG Juncai, SU Yong. Effect of Dynamic Hip Screw and Proximal Femur on Perioperative Index and Hip Function in Patients with Intertrochanteric Femoral Fractures. HeBei Med, 2020, 26(3): 415-417.
2020, Vol. 26 
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