CAJ | 학술논문

目的：探讨股骨近端髓内钉（PFN）与股骨锁定钢板（PFLP）固定治疗股骨转子下骨折的临床疗效。方法68例股骨转子下骨折患者随机分为PFN组和PFLP组各34例，观察两组手术时间、骨折愈合时间、术中出血量情况、并发症。结果所有患者术后6个月均一期愈合，Ⅰ~Ⅱ型股骨转子下骨折：PFLP组手术时间少于PFN组，差异有统计学意义（P<0.05），骨折愈合时间、术中出血量及Harris评分对比，两组差异无统计学意义（P>0.05）；Ⅲ-Ⅴ型股骨转子下骨折：PFN组术中出血量小于PFLP组，差异有统计学意义（P<0.05），手术时间及骨折愈合时间、Harris评分对比，两组差异无统计学意义（P>0.05）。结论对于Ⅰ~Ⅱ型股骨转子下骨折，PFN与PFLP具有相同临床疗效，而Ⅲ~Ⅴ型股骨转子下骨折，PFN更有优势。
목적：탐토고골근단수내정（PFN）여고골쇄정강판（PFLP）고정치료고골전자하골절적림상료효。방법68례고골전자하골절환자수궤분위PFN조화PFLP조각34례，관찰량조수술시간、골절유합시간、술중출혈량정황、병발증。결과소유환자술후6개월균일기유합，Ⅰ~Ⅱ형고골전자하골절：PFLP조수술시간소우PFN조，차이유통계학의의（P<0.05），골절유합시간、술중출혈량급Harris평분대비，량조차이무통계학의의（P>0.05）；Ⅲ-Ⅴ형고골전자하골절：PFN조술중출혈량소우PFLP조，차이유통계학의의（P<0.05），수술시간급골절유합시간、Harris평분대비，량조차이무통계학의의（P>0.05）。결론대우Ⅰ~Ⅱ형고골전자하골절，PFN여PFLP구유상동림상료효，이Ⅲ~Ⅴ형고골전자하골절，PFN경유우세。
Objective?To?explore?the?clinical?efficacy?of?PFN?and?PFLP?in?treatment?of?femoral?subtrochanteric?fractures.?Methods?68?cases?of?subtrochanteric fracture patients according ifxed method were divided into PFN group and PFLP group every 34 cases,observed two groups of operation time,?fracture?healing?time,?amount?of?bleeding?during?operation.?Results?After?operation,Ⅰ-Ⅱ?subtrochanteric?fracture:?the?operation?time?in?PFLP?group?was?less?than?that?in?PFN?group?(P<0.05), and the healing of the fracture bleeding volume and Harris score compared time, intraoperative, no signiifcant difference?between?two?groups(P>0.05);?Ⅲ-Ⅴ?subtrochanteric?fracture:?in?PFN?group,?the?bleeding?amount?was?less?than?PFLP?group(P<0.05),?the?operation?time and healing time of fracture, Harris score comparison, no signiifcant difference between two groups(P>0.05).Conclusion?For?Ⅰ-Ⅱ?type?fracture?of?the?femur, PFN and PFLP have the same clinical efifcacy, andⅢ-Ⅴ?subtrochanteric?fracture,?PFN?has?more?advantages.