CAJ | 학술논문

目的探讨临床应用股骨近端锁定板(LPFP)和动力髋螺钉(DHS)治疗老年股骨粗隆间骨折的手术疗效.方法回顾性分析老年股骨粗隆间骨折46例患者的临床资料,LPFP组和DHS组各23例.分析比较两种术式平均手术时间、术中出血量、下地时间、完全负重时间、住院时间、骨折愈合时间及术后功能恢复方面的差异.结果 LPFP组与DHS组的手术时间、术中出血量、完全负重时间、骨折愈合时间比较差异有统计学意义(P＜0.05),LPFP组优于DHS组.平均住院时间分别为20 d(LPFP组)和28 d(DHS组).对于稳定性股骨粗隆间骨折,两组优良率比较差异无统计学意义(P＞0.05)；对于不稳定性股骨粗隆间骨折,LPFP组的优良率优于DHS组.结论对于老年股骨粗隆间骨折的治疗,LPFP优于DHS.
목적 탐토림상응용고골근단쇄정판(LPFP)화동력관라정(DHS)치료노년고골조륭간골절적수술료효.방법 회고성분석노년고골조륭간골절46례환자적림상자료,LPFP조화DHS조각23례.분석비교량충술식평균수술시간、술중출혈량、하지시간、완전부중시간、주원시간、골절유합시간급술후공능회복방면적차이.결과 LPFP조여DHS조적수술시간、술중출혈량、완전부중시간、골절유합시간비교차이유통계학의의(P＜0.05),LPFP조우우DHS조.평균주원시간분별위20 d(LPFP조)화28 d(DHS조).대우은정성고골조륭간골절,량조우량솔비교차이무통계학의의(P＞0.05)；대우불은정성고골조륭간골절,LPFP조적우량솔우우DHS조.결론 대우노년고골조륭간골절적치료,LPFP우우DHS.
Objective To investigate the efficacy of the proximal femur locking plate (LPFP) and the dynamic hip screw(DHS) treatment of elderly patients with intertrochanteric fracture.Methods The clinical data of 46 cases of elderly patients with intertrochanteric fracture were retrospectively analyzed,and they were divided into LPFP group and DHS group,23 cases in each group.Comparing two groups mean operation time,intraoperative blood loss,ambulation time,full weight bearing,length of stay,fracture healing time and postoperative functional recovery differences.Results Operation time,bleeding volume,full weight bearing and fracture healing time between the two groups,the difference was statistically significant (P ＜ 0.05),LPFP group was superior to the DHS group.The mean duration of hospitalization were 20 days (LPFP) and 28 days(DHS).The stability of femoral intertrochanteric fracture in the two groups,the excellent and good rate had no significant difference,for instability intertrochanteric fracture LPFP group was superior to the DHS group.Conclusions For elderly patients with intertrochanteric fracture,treated with LPFP is superior to DHS.