CAJ | 학술논문

目的：比较股骨近端防旋髓内钉与锁定钢板治疗股骨粗隆间骨折的临床疗效。方法选择2012年5月-2015年5月期间本院诊治的45例股骨粗隆间骨折患者为研究对象，根据治疗方法将45例患者分为A组（股骨近端防旋髓内钉治疗）及B组（锁定钢板治疗）。比较两组手术情况、骨折愈合情况、术后并发症及关节功能优良率的差别。结果与B组相比，A组患者手术时间显著减少，切口长度小，术后负重时间提前(P<0.05)；两组患者骨折愈合时间、术中出血量未见显著差别(P>0.05)；A组未发生内固定物松动及髋内翻，B组内固定物松动及髋内翻发生率分别为5.0%和10.0%(P>0.05)；两组术后3个月关节优良率分别为88.0%和85.0%，差别无统计学意义(P>0.05)。结论股骨近端防旋髓内钉与锁定钢板治疗股骨粗隆间骨折的临床疗效相当，但前者对机体损伤小，更适合老年体弱手术者。
목적：비교고골근단방선수내정여쇄정강판치료고골조륭간골절적림상료효。방법선택2012년5월-2015년5월기간본원진치적45례고골조륭간골절환자위연구대상，근거치료방법장45례환자분위A조（고골근단방선수내정치료）급B조（쇄정강판치료）。비교량조수술정황、골절유합정황、술후병발증급관절공능우량솔적차별。결과여B조상비，A조환자수술시간현저감소，절구장도소，술후부중시간제전(P<0.05)；량조환자골절유합시간、술중출혈량미견현저차별(P>0.05)；A조미발생내고정물송동급관내번，B조내고정물송동급관내번발생솔분별위5.0%화10.0%(P>0.05)；량조술후3개월관절우량솔분별위88.0%화85.0%，차별무통계학의의(P>0.05)。결론고골근단방선수내정여쇄정강판치료고골조륭간골절적림상료효상당，단전자대궤체손상소，경괄합노년체약수술자。
Objective To compare the effect of proximal femoral nail anti-rotation and locking plate in treatment of in-tertrochanteric fractures. Methods From May 2012 to May 2015,45 cases with intertrochanteric fractures were selected as re-search subjects. All the subjects were divided into group A (patients underwent proximal femoral nail anti-rotation treatment) and group B (patients underwent locking plate therapy). The differences of operation situation,fracture healing,postoperative complica-tions and the excellent rate of joint function between two groups were compared between two groups. Results Comparison with group B,the operation time greatly decreased,operative incision lengths were more less and postoperative weight-bearing time ad-vanced (P<0.05);There were no significant difference of fracture healing and intraoperative blood loss between two groups(P>0.05);No loosening of internal fixation and coxa adducta occurred in group A. The occurrence of loosening of internal fixation and coxa adducta in group B were 5.0% and 10.0%(P>0.05). The excellent rates of joint function in group A and group B were 88.0% and 85.0%with significant difference (P>0.05). Conclusion Proximal femoral nail anti-rotation and locking plate showed similar effi-cacy in intertrochanteric fractures. Proximal femoral nail anti-rotation has less injures for body and be benefit for elderly patients.