CAJ | 학술논문

目的：探讨PFNA微创治疗82例高龄日常行动能力低股骨粗隆间骨折。方法：比较41例高龄日常行动能力低股骨粗隆间骨折经过DHS治疗后和PFNA微创治疗后患者的手术时间，术后出血量、术后出血量、术后疼痛视觉模拟评分法(VAS)以及髋关节Harris评分。结果：选取的41例PFNA微创治疗治疗患者，经过治疗后在患者手术时间，术后出血量、下地时间、术后疼痛视觉模拟评分法(VAS)评分以及髋关节Harris评分上，要优于DHS组，有统计学意义(P＜0.05)。结论：应用PFNA微创治疗82例高龄日常行动能力低股骨粗隆间骨折，能明显缓解患者术后疼痛及后位的发生，并且PFNA微创螺钉具有创伤小、设计合理、允许病人早期活动，是骨质疏松股骨粗隆间骨折内固定物老年患者理想的内固定物。在日常行动能力患者中疗效明显，值得临床推广。
목적：탐토PFNA미창치료82례고령일상행동능력저고골조륭간골절。방법：비교41례고령일상행동능력저고골조륭간골절경과DHS치료후화PFNA미창치료후환자적수술시간，술후출혈량、술후출혈량、술후동통시각모의평분법(VAS)이급관관절Harris평분。결과：선취적41례PFNA미창치료치료환자，경과치료후재환자수술시간，술후출혈량、하지시간、술후동통시각모의평분법(VAS)평분이급관관절Harris평분상，요우우DHS조，유통계학의의(P＜0.05)。결론：응용PFNA미창치료82례고령일상행동능력저고골조륭간골절，능명현완해환자술후동통급후위적발생，병차PFNA미창라정구유창상소、설계합리、윤허병인조기활동，시골질소송고골조륭간골절내고정물노년환자이상적내고정물。재일상행동능력환자중료효명현，치득림상추엄。
Objective:To discuss a minimally invasive treatment of intertrochanteric fractures using PFNA in low daily patient. Method:82 cases suffering from intertrochanteric fractures treated in our hospital during May 2009-October 2013(man 33 cases , women 49 cases) were selected. the age of patient between 73-92 years, mean 81 years,We recorded the operative time, blood loss, complications of each patient and evaluate the efficacy of treatment between DHS group and PFNA group .Result:the operative time of the patients was 45-110min, mean 55 ± 16min;blood loss was 80 to 210 ml,;hospital days was 7-16 days, mean 8 days;the load time was 4-8 weeks,;the healing of fracture was 8 to 16 weeks;the whole patients actieve the healing of fracture and had no internal fixation of hip cut, screw nails piercing or other complications,41 cases treated by PFNA minimally invasive have statistically significant (P <0.05) in postoperative bleeding, ambulation time, pain visual analog scale (VAS) score and Harris hip score compared with DHS group Conclusion:PFNA is less invasion, reasonable design and allowing patients functional exercise. PFNA treatment of intertrochanteric fractures is the ideal surgical method during osteoporosis elderly suffering from unstable intertrochanteric fracture, especially in low daily patient.