CAJ | 학술논문

目的：探讨股骨近端防旋转髓内钉（ PFNA）内固定治疗不稳定股骨粗隆间骨折的临床疗效。方法：选取2012年4月至2014年1月间收治的不稳定型股骨粗隆间骨折患者66例，随机分为观察组与对照组，观察组患者采用PFNA内固定治疗，对照组采用股骨近端解剖型锁定钢板（ ALP ）内固定治疗，对比两组患者术中、术后情况及骨折愈合时间，并对患者进行1年回访，观察其髋关节功能Harris评分改善情况。结果：观察组患者手术时间、术出血量、术后引流量及下地负重时间均显著优于对照组（ P＜0．05）；术后1年回访，观察组髋关节功能Harris评分优良率为94．7％，对照组为92．9％，两组间比较无统计学差异（ P＞0．05）。结论：PFNA治疗不稳定股骨粗隆间骨折效果显著，且创伤小、操作简单、固定可靠，患者术后可早期进行功能康复训练，对年龄较大、不能耐受较长时间手术、身体状况较差的患者，应优先考虑使用。groups were compared ．Meanwhile ， the patients were received a one－year return visit ．The situation of Harris hip joint function score improved was observed ．Result：The operation time ， peri－operative blood loss ， post-operative sunction drainage ， and the underground load time in the patients of the observation group were sig-nificantly superior to those in the control group （ P＜0．05）．The postoperative one－year return visit showed that the excellent and good rate of Harris hip joint function score was 94．7％， while that in the control group was 92．9％．There were no significant differences between the two groups （ P＞0．05）．Conclusion：The effi-cacy of PFNA in treating unstable femoral intertrochanteric fracture patients is obvious ．Meanwhile， PFNA has the advantages of little trauma ， easy for operating， and a reliable fixation．After operation， the patients can make an early functional rehabilitaion training ．To those who are old ， unable to endure the long－time op-eration， and have bad physical conditions ， PFNA should be adopted in preference ．目的：探討股骨近耑防鏇轉髓內釘（ PFNA）內固定治療不穩定股骨粗隆間骨摺的臨床療效。方法：選取2012年4月至2014年1月間收治的不穩定型股骨粗隆間骨摺患者66例，隨機分為觀察組與對照組，觀察組患者採用PFNA內固定治療，對照組採用股骨近耑解剖型鎖定鋼闆（ ALP ）內固定治療，對比兩組患者術中、術後情況及骨摺愈閤時間，併對患者進行1年迴訪，觀察其髖關節功能Harris評分改善情況。結果：觀察組患者手術時間、術齣血量、術後引流量及下地負重時間均顯著優于對照組（ P＜0．05）；術後1年迴訪，觀察組髖關節功能Harris評分優良率為94．7％，對照組為92．9％，兩組間比較無統計學差異（ P＞0．05）。結論：PFNA治療不穩定股骨粗隆間骨摺效果顯著，且創傷小、操作簡單、固定可靠，患者術後可早期進行功能康複訓練，對年齡較大、不能耐受較長時間手術、身體狀況較差的患者，應優先攷慮使用。groups were compared ．Meanwhile ， the patients were received a one－year return visit ．The situation of Harris hip joint function score improved was observed ．Result：The operation time ， peri－operative blood loss ， post-operative sunction drainage ， and the underground load time in the patients of the observation group were sig-nificantly superior to those in the control group （ P＜0．05）．The postoperative one－year return visit showed that the excellent and good rate of Harris hip joint function score was 94．7％， while that in the control group was 92．9％．There were no significant differences between the two groups （ P＞0．05）．Conclusion：The effi-cacy of PFNA in treating unstable femoral intertrochanteric fracture patients is obvious ．Meanwhile， PFNA has the advantages of little trauma ， easy for operating， and a reliable fixation．After operation， the patients can make an early functional rehabilitaion training ．To those who are old ， unable to endure the long－time op-eration， and have bad physical conditions ， PFNA should be adopted in preference ．
목적：탐토고골근단방선전수내정（ PFNA）내고정치료불은정고골조륭간골절적림상료효。방법：선취2012년4월지2014년1월간수치적불은정형고골조륭간골절환자66례，수궤분위관찰조여대조조，관찰조환자채용PFNA내고정치료，대조조채용고골근단해부형쇄정강판（ ALP ）내고정치료，대비량조환자술중、술후정황급골절유합시간，병대환자진행1년회방，관찰기관관절공능Harris평분개선정황。결과：관찰조환자수술시간、술출혈량、술후인류량급하지부중시간균현저우우대조조（ P＜0．05）；술후1년회방，관찰조관관절공능Harris평분우량솔위94．7％，대조조위92．9％，량조간비교무통계학차이（ P＞0．05）。결론：PFNA치료불은정고골조륭간골절효과현저，차창상소、조작간단、고정가고，환자술후가조기진행공능강복훈련，대년령교대、불능내수교장시간수술、신체상황교차적환자，응우선고필사용。groups were compared ．Meanwhile ， the patients were received a one－year return visit ．The situation of Harris hip joint function score improved was observed ．Result：The operation time ， peri－operative blood loss ， post-operative sunction drainage ， and the underground load time in the patients of the observation group were sig-nificantly superior to those in the control group （ P＜0．05）．The postoperative one－year return visit showed that the excellent and good rate of Harris hip joint function score was 94．7％， while that in the control group was 92．9％．There were no significant differences between the two groups （ P＞0．05）．Conclusion：The effi-cacy of PFNA in treating unstable femoral intertrochanteric fracture patients is obvious ．Meanwhile， PFNA has the advantages of little trauma ， easy for operating， and a reliable fixation．After operation， the patients can make an early functional rehabilitaion training ．To those who are old ， unable to endure the long－time op-eration， and have bad physical conditions ， PFNA should be adopted in preference ．
Objective:To investigate the clinical efficacy of unstable femoral intertrochanteric fracture with proximal femoral nail antirotation ( PFNA) .Method:66 unstable femoral intertrochanteric fracture pa-tients admitted by our hospital from Apr .2012 to Jan.2014 were enrolled in our study and were divided into the observation group and the control group .The patients in the observation group were treated by PFNA , and the proximal femoral anatomic locking plate ( ALP ) was used in treating the patients in the control group .The intraoperative and postoperative conditions and the fracture healing time of the patients in the two groups were compared.Meanwhile, the patients were received a one-year return visit.The situation of Harriship joint function score improved was observed.Result: The operation time, peri-operative blood loss, postoperativesunction drainage, and the underground load time in the patients of the observation group were sig -nificantly superior to those in the control group (P<0.05).The postoperative one-year return visit showedthat the excellent and good rate of Harris hip joint function score was 94.7%, while that in the control groupwas 92.9%.There were no significant differences between the two groups (P>0.05).Conclusion: The efficacyof PFNA in treating unstable femoral intertrochanteric fracture patients is obvious .Meanwhile, PFNAhas the advantages of little trauma, easy for operating, and a reliable fixation.After operation, the patientscan make an early functional rehabilitaion training.To those who are old, unable to endure the long-time operation,and have bad physical conditions, PFNA should be adopted in preference.