PFNA近端锁定板和人工股骨头置换术对高龄骨质疏松性股骨粗隆间骨折患者围术期指标髋功能恢复及下肢静脉血栓的影响

doi:10.3969/j.issn.1006-6233.2019.02.018

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Abstract Objective: To investigate the effects of proximal femoral nail anti-rotation (PFNA), proximal femoral locking compress plate (PF-LCP) and artificial femoral head replacement on perioperative indexes, hip function recovery and lower limb venous thrombosis in Elderly osteoporotic patients with femoral intertrochanteric fractures. Methods: 95 Elderly osteoporotic patients with femoral intertrochanteric fractures were divided into PFNA group, PF-LCP group and artificial femoral head replacement group according to different surgical procedures. The perioperative indexes were compared among groups. The incidence of postoperative complications was statistically analyzed, and D-dimer levels were measured. The patients were followed up, and hip function was evaluated at the last follow-up. Results: The surgical time, intraoperative blood loss and postoperative drainage volume of PFNA group were significantly shorter/less than those of PF-LCP group or the artificial femoral head replacement group (P<0.05). The weight-bearing time and hospital stay of the artificial femoral head replacement group was significantly shorter than that of PFNA group or PF-LCP group (P<0.05). The D-dimer levels in PF-LCP group and the artificial femoral head replacement group at 7 days after surgery were significantly higher than those in PFNA group (P<0.05). All patients were followed up, and the follow-up time was 17 to 22 months. The Harris grade of hip function in PFNA group or the artificial femoral head replacement group was significantly better than that in PF-LCP group (P<0.05). Conclusion: Both PFNA and artificial femoral head replacement can effectively improve the hip function in patients with femoral intertrochanteric fractures. The duration of PFNA is short, blood loss is little and the risk of postoperative deep venous thrombosis is low. The time in bed of patients treated by artificial femoral head replacement is short and the patient can recover quickly.

Key words： Femoral intertrochanteric fracture Proximal femoral locking compress plate Artificial femoral head replacement

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2019.02.018 OR http://www.hbyxzzs.cn/EN/Y2019/V25/I2/241

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