CAJ | 학술논문

目的探讨不同内固定方法治疗股骨转子间骨折的临床疗效.方法回顾性分析应用股骨近端髓内钉抗螺旋刀片(PFNA)治疗12例,DHS治疗25例的治疗效果.结果全部患者获得随访,随访时间5～18个月,平均11个月,所有骨折均愈合,平均愈合时间为3个月,髋关节功能按Harris评分评定,DHS组25例,优良21例;PFNA组12例,优良11例.结论 PFNA治疗股骨转子间骨折优于DHS,是一种有效的治疗方法.
목적 탐토불동내고정방법 치료고골전자간골절적림상료효.방법 회고성분석응용고골근단수내정항라선도편(PFNA)치료12례,DHS치료25례적치료효과.결과 전부환자획득수방,수방시간5～18개월,평균11개월,소유골절균유합,평균유합시간위3개월,관관절공능안Harris평분평정,DHS조25례,우량21례;PFNA조12례,우량11례.결론 PFNA치료고골전자간골절우우DHS,시일충유효적치료방법.
Objective To investigate different surgical treatments for femoral intertrochateric fractures. To evaluate the results of treatment of intertrochateric fractures with PFNA. Methods 37 patients with femoral intertrochateric fracture were retrospectively reviewed,of which 12 patients were treated operatively with PFNA,25 patients were treated operatively with DHS. Therapeutic efficacy were compared and analyzed. Results All the patients were followed up for 5-18 months(an average of 11 months). All fractures healed in a mean of 3 months. According to Harris'standard of hip-joint fuction,the outcome was classified into excellent,good and poor. In 25 patients with DHS,the good clinical results was 21 cases. In 12 patients with PFNA, excellent and good clinical result was 11 cases. Conclusion PFNAintemal fixation was an effective method for treating the femoral intertrochateric fractures and better than that by DHS.