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| Comparison of the Effects between Biotype Artificial Femoral Head Replacement and PFNA Internal Fixation for the Treatment of Evans III and IV Intertrochanteric Fractures in the Elderly |
| BO Shuxin, WANG Qian, CHEN Ping |
| The First Affiliated Hospital of Chinese People's Liberation Army Air Force Military Medical University, Shanxi Xi'an 710032, China |
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Abstract Objective: To investigate the clinical effects of biotype artificial femoral head replacement and proximal femoral nail anti-rotation (PFNA) internal fixation in the treatment of elderly Evans III and IV intertrochanteric fractures. Methods: 80 patients with intertrochanteric fractures diagnosed in the hospital from December 2015 to January 2018 were selected as study subjects. They were divided into the control group and the observation group according to the non-randomized clinical concurrent control study and patient voluntary principle, 40 patients in each group. The control group was treated with PFNA internal fixation while the observation group was treated with Corail biotype artificial femoral head replacement. The general conditions of surgery, clinical curative effect, hip function recovery (evaluated by Harris score) and complications were compared between the two groups. Results: The surgical time of the observation group was significantly longer than that of the control group, and intraoperative blood loss was more than that of the control group, while length of hospital stay and postoperative ambulation time were significantly shorter than those of the control group. The clinical total response rate of the observation group was significantly higher than that of the control group after treatment (P<0.05). There was no significant difference in preoperative Harris score between the two groups (P>0.05). The Harris scores of observation group were significantly higher than those of the control group at 1 month, 3 months and 6 months after surgery (P<0.05). The total incidence of postoperative complications in the observation group was significantly lower than that in the control group (P<0.05). Conclusion: Compared with PFNA internal fixation, biological artificial femoral head replacement has more advantages in the treatment of elderly patients with Evans III and IV intertrochanteric fractures in terms of efficacy, prognosis and safety.
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[1] 于晨,江龙海,蔡大卫,等.PFNA与InterTAN髓内钉治疗老年股骨转子间骨折疗效的Meta分析[J].中国骨伤,2019,32(2):29~38.
[2] 黄冠予,彭昊.老年人不稳定型股骨转子间骨折的治疗进展[J].中国组织工程研究,2017,21(23):3760~3766.
[3] 董方,李广义,刘德强,等.股骨粗隆间骨折PFNA内固定术中应用骨科牵引床的利弊分析[J].中国骨与关节损伤杂志,2017,32(2):141~143.
[4] 夏正楠,李军民,肖甲宇,等.骨水泥型与生物型人工股骨头置换术治疗高龄股骨粗隆间骨折的疗效比较[J].中国骨与关节损伤杂志,2018,33(4):393~394.
[5] 兰天,单战,吴金春.人工关节置换与股骨近端髓内钉治疗高龄不稳定股骨转子间骨折的对照[J].中国组织工程研究,2018,22(3):362~367.
[6] 朱前拯,部志军,于彩霞,等.人工股骨头置换术治疗高龄股骨颈骨折发生假体周围骨折的危险因素分析[J].中华创伤骨科杂志,2017,19(11):959. |
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2020, Vol. 26 
