CAJ | 학술논문

目的：探讨PFNA与DHS治疗外侧壁危险型股骨粗隆间骨折的临床疗效。方法选自2011年3月~2013年3月在我院骨科住院治疗的97例外侧壁危险型股骨粗隆间骨折并给予手术治疗的患者，根据手术方法不同分为DHS组48例，PFNA组49例。比较两组患者的围手术期指标以及术后骨折平均愈合时间、术后骨折复位丢失、关节功能恢复优良率及术后并发症。结果 PFNA组的手术时间、术中出血量、术后住院时间、平均愈合时间均短于DHS组，差异有统计学意义（P<0.05）；PFNA组术后骨折复位丢失率、并发症发生率均明显低于DHS组，关节功能恢复优良率明显高于DHS组，差异均有统计学意义（P<0.05）。结论 PFNA治疗外侧壁危险型股骨粗隆间骨折疗效可靠、安全有效方法，值得在临床上推广应用。
목적：탐토PFNA여DHS치료외측벽위험형고골조륭간골절적림상료효。방법선자2011년3월~2013년3월재아원골과주원치료적97예외측벽위험형고골조륭간골절병급여수술치료적환자，근거수술방법불동분위DHS조48례，PFNA조49례。비교량조환자적위수술기지표이급술후골절평균유합시간、술후골절복위주실、관절공능회복우량솔급술후병발증。결과 PFNA조적수술시간、술중출혈량、술후주원시간、평균유합시간균단우DHS조，차이유통계학의의（P<0.05）；PFNA조술후골절복위주실솔、병발증발생솔균명현저우DHS조，관절공능회복우량솔명현고우DHS조，차이균유통계학의의（P<0.05）。결론 PFNA치료외측벽위험형고골조륭간골절료효가고、안전유효방법，치득재림상상추엄응용。
Objective To explore the clinical therapeutic effect of inverted DHS and PFNA in the treatment of femoral intertrochanteric fractures. Methods A total of 97 patients with intertrochanteric fracture in our hospital from Mar. 2011 to Mar 2013 in the department of orthopaedics were randomly divided into two groups. 48 cases were included into DHS group,another 49 cases were included into PFNA group.And then the perioperative index and the average healing time,postoperative fracture reduction loss, the excellent rate of joint function recovery and the incidence of complications between the two groups were compared. Results Theoperative time,intra-operative blood loss,postopera-tive drainage,the average healing time of PFNA group were better than that in DHS group (P<0.05).The postoperative fracture reduction loss,complication incidence of PFNA group was significantly lower than that in DHS group,and the excellent rate of joint function recovery of PFNA group was significantly higher than that in DHS group (P<0.05). Conclusion PFNA is a reliable and effective therapy for femoral intertrochanteric fractures,it is of worthy of clinical application.