CAJ | 학술논문

目的：比较股骨近端防旋髓内钉（PFNA）和动力髋螺钉（DHS）治疗高龄股骨转子间骨折的疗效。方法回顾分析2009年12月至2012年12月两种方法治疗高龄股骨转子间骨折60例，其中PFNA组32例，DHS组28例。根据手术时间、术中出血量、并发症发生、骨折愈合时间和术后髋关节功能恢复5个指标进行对比分析。结果60例患者随访10～25个月，平均17个月，与DHS组相比，PFNA组手术时间短，术中出血少，并发症发生低，骨折愈合时间短，按Harris评分标准，髋关节功能恢复好。结论 PFNA治疗高龄股骨转子间骨折创伤小，固定可靠、并发症少，髋关节功能恢复好，是手术治疗高龄股骨转子间骨折的首选方法。
목적：비교고골근단방선수내정（PFNA）화동력관라정（DHS）치료고령고골전자간골절적료효。방법회고분석2009년12월지2012년12월량충방법치료고령고골전자간골절60례，기중PFNA조32례，DHS조28례。근거수술시간、술중출혈량、병발증발생、골절유합시간화술후관관절공능회복5개지표진행대비분석。결과60례환자수방10～25개월，평균17개월，여DHS조상비，PFNA조수술시간단，술중출혈소，병발증발생저，골절유합시간단，안Harris평분표준，관관절공능회복호。결론 PFNA치료고령고골전자간골절창상소，고정가고、병발증소，관관절공능회복호，시수술치료고령고골전자간골절적수선방법。
Objective To comparetheproximalfemoralnailantirotation(PFNA)anddynamichipscrew(DHS)treatmentonin-tertrochanteric femur fractures in the elderly .Methods Retrospective analysis was conducted on 60 patients with intertrochanteric femur fracture collected from December 2009 to December 2012 ,which underwent these two methods ,including 32 cases of PFNA group ,28 cases of DHS group .The 5 indicators including operation time ,intraoperative blood loss ,complications ,fracture healing time and hip function recovery were analyzed .Results Sixty cases were followed up for 10 to 25 months ,average 17 months ,com-pared with DHS group ,PFNA group was with short operation time ,less bleeding ,less complications ,short time of fracture healing , according to standard of Harris score ,the hip function recovered well .Conclusion PFNA treatment on intertrochanteric femur frac-tures is with little trauma ,reliable fixation ,fewer complications ,with which the hip function recovered well ,and it is the preferred method of operation in treatment of senile intertrochanteric femur fracture .