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| Effect of Dynamic Hip Screw and Proximal Femur on Perioperative Index and Hip Function in Patients with Intertrochanteric Femoral Fractures |
| CHEN Cheng, PENG Juncai, SU Yong |
| The Second People's Hospital of Anhui Province, Anhui Hefei 230000, China |
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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.
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[1] 王虎,尹芸生.老年股骨粗隆间骨折患者死亡的相关危险因素[J].中国临床研究,2016,29(3):420~423.
[2] 黄凯,陈安富.两种内固定手术治疗老年股骨转子间骨折的隐性失血量及预后比较[J].空军医学杂志,2016,32(4):261~263.
[3] 吴在德.外科学[M].人民卫生出版社,2008.31.
[4] 张忠杰.股骨近段良性肿瘤患者髋关节置换与内固定手术效果比较[J].临床和实验医学杂志,2016,15(21):2140~2142.
[5] 李苗苗,代永静.Barthel指数评分量表在康复护理中的应用进展[J].护士进修杂志,2018,33(6):508~510.
[6] 朱永峰,胡南松,吕伟胜,等.股骨近端防旋髓内钉治疗老年骨质疏松性股骨粗隆间骨折的效果分析[J].中国药物与临床,2019,19(2):76~77.
[7] 张涛,杨扉扉,张松,等.两种手术方式治疗外侧壁危险型股骨粗隆间骨折的疗效比较[J].中国矫形外科杂志,2017,412(2):174~177.
[8] 林凡国,孙永明,华俊,等.骨近端髓内钉与动力髋螺钉治疗老年股骨粗隆间骨折临床疗效比较[J].中国现代医学杂志,2016,26(8):127~130.
[9] 王武,翟生,韩小平,等.股骨近端抗旋髓内钉与动力髋螺钉对老年不稳定股骨粗隆间骨折疗效的对比研究[J].中华医学杂志,2018,98(5):357~361. |
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2020, Vol. 26 
