CAJ | 학술논문

目的：比较Gamma钉、股骨近端防旋髓内钉( PFNA)治疗股骨转子间骨折的疗效。方法对162例接受髓内钉系统治疗的股骨转子间骨折患者的临床资料进行回顾性分析,其中Gamma钉治疗82例,PFNA治疗80例。对两组术中出血量、手术时间、骨折复位和骨折愈合情况及髋关节功能进行比较。结果两组的手术时间、术中出血量比较差异均无统计学意义( P>0．05)。死亡及失访30例,132例获得随访,时间6~48个月。两组骨折愈合时间及髋关节功能优良率比较差异均无统计学意义( P>0．05)；骨折复位情况 Gamma 钉组优于 PFNA 组(P<0．05)。结论 Gamma钉和PFNA治疗股骨转子间骨折操作简单,手术时间较短,术中出血量较少,疗效均较好。
목적：비교Gamma정、고골근단방선수내정( PFNA)치료고골전자간골절적료효。방법대162례접수수내정계통치료적고골전자간골절환자적림상자료진행회고성분석,기중Gamma정치료82례,PFNA치료80례。대량조술중출혈량、수술시간、골절복위화골절유합정황급관관절공능진행비교。결과량조적수술시간、술중출혈량비교차이균무통계학의의( P>0．05)。사망급실방30례,132례획득수방,시간6~48개월。량조골절유합시간급관관절공능우량솔비교차이균무통계학의의( P>0．05)；골절복위정황 Gamma 정조우우 PFNA 조(P<0．05)。결론 Gamma정화PFNA치료고골전자간골절조작간단,수술시간교단,술중출혈량교소,료효균교호。
Objective To compare the outcome of surgical treatment with Gamma nail and proximal femoral nail an-tirotation ( PFNA) for femoral intertrochanteric fracture. Methods 162 cases of femoral intertrochauteric fractures treated with intramedullary nail system in patients with clinical data were retrospectively analyzed, including Gamma nail treatment of 82 cases,PFNA treatment of 80 cases. Intraoperative blood loss,operative time,fracture reduction and fracture healing and the hip joint function and so on were compared. Results The operation time and blood loss were no statistical different(P>0. 05). 30 cases got death or lost to follow-up. 132 cases were followed up for 6~48 months,two groups of fracture healing time and hip function were no statistical different (P>0. 05). The fracture re-duction for Gamma nail group was better than PFNA group ( P<0. 05 ) . Conclusions Among two intramedullary nail systems,PFNA and Gamma nail are effective methods for treatment of femoral intertrochanteric fracture.