CAJ | 학술논문

目的：探讨锁定钢板(LCP)固定、动力髋螺钉(DHS)内固定和股骨近端髓内钉(PFNA)内固定治疗老年股骨粗隆间骨折的疗效。方法选择老年稳定型股骨粗隆间骨折患者60例,随机分至股骨近端 LCP 固定组(A 组)、DHS 内固定组(B 组)和 PFNA 固定组(C 组),对3组患者手术时间、出血量、术后负重时间及并发症发生情况进行分析和比较。结果A 组、B 组、C组与在术中出血量、术后负重时间及手术时间的比较具有统计学意义(P <0.05)。C 组优良率显著优于 A 组(P <0.05)。A 组出现2例髋内翻,1例断钉、退钉,1例浅表感染；B 组出现1例髋内翻；C 组出现1例股骨转子间再骨折。结论LCP 固定、DHS 内固定和 PFNA 均为老年稳定型股骨粗隆间骨折的有效治疗方式。
목적：탐토쇄정강판(LCP)고정、동력관라정(DHS)내고정화고골근단수내정(PFNA)내고정치료노년고골조륭간골절적료효。방법선택노년은정형고골조륭간골절환자60례,수궤분지고골근단 LCP 고정조(A 조)、DHS 내고정조(B 조)화 PFNA 고정조(C 조),대3조환자수술시간、출혈량、술후부중시간급병발증발생정황진행분석화비교。결과A 조、B 조、C조여재술중출혈량、술후부중시간급수술시간적비교구유통계학의의(P <0.05)。C 조우량솔현저우우 A 조(P <0.05)。A 조출현2례관내번,1례단정、퇴정,1례천표감염；B 조출현1례관내번；C 조출현1례고골전자간재골절。결론LCP 고정、DHS 내고정화 PFNA 균위노년은정형고골조륭간골절적유효치료방식。
Objective To compare the clinical efficacy of locking plate (LCP),dynamic hip screw (DHS)and proximal femo-ral nail (PFNA)internal fixation in the treatment of elderly stable femoral intertrochanteric fracture.Methods A total of 60 pa-tients with stable stable intertrochanteric fractures in elderly patients were randomly divided randomly into proximal femoral LCP fixation group (group A),the DHS fixation group (group B)and PFNA fixation group (group C).The operative time,blood loss, postoperative complications and postoperative weight-bearing time were analyzed among three different groups.Results There were significant difference in blood loss,postoperative weight-bearing time,operative time among three different groups (P < 0.05 ). Group C was significantly better than the group A(P <0.05).Two cases of hip varus deformity,one case of crew loosening and su-perficial infection were appeared among group A.One case of hip varus deformity occurred in group B.One case of suffered refrac-ture occurred in group C.Conclusion LCD fixation,fixation with DHS and PFNA fixation are effective treatment for stable femoral intertrochanteric fracture in the elderly patients.