CAJ | 학술논문

目的对比分析反向股骨远端微创内固定系统(1ess invasive stabilization system , LISS) 和股骨近端螺旋刀片抗旋髓内钉( proximal femoral nail antirotation blade , PFNA)治疗老年人股骨粗隆间骨折的临床疗效. 方法回顾笔者医院2009年12月~2012年12月收治的48例患者. 根据不同的手术方式分为:LISS组( n=24例)和PFNA组( n=24例) ,通过两组的手术时间、术中出血量、骨折愈合时间、Harris功能评分及相关并发症来评估两者的疗效. 结果随访10~23个月后,两组的术后并发症、骨折愈合时间及末次随访功能评分差异无统计学意义,LISS组相对PFNA组的手术切口较长、手术时间较长、术中失血量较多. 结论 LISS和PFNA治疗股骨粗隆间骨折均可取得较好的疗效,对于老年人的股骨粗隆间骨折PFNA具有优势.
목적 대비분석반향고골원단미창내고정계통(1ess invasive stabilization system , LISS) 화고골근단라선도편항선수내정( proximal femoral nail antirotation blade , PFNA)치료노년인고골조륭간골절적림상료효. 방법 회고필자의원2009년12월~2012년12월수치적48례환자. 근거불동적수술방식분위:LISS조( n=24례)화PFNA조( n=24례) ,통과량조적수술시간、술중출혈량、골절유합시간、Harris공능평분급상관병발증래평고량자적료효. 결과 수방10~23개월후,량조적술후병발증、골절유합시간급말차수방공능평분차이무통계학의의,LISS조상대PFNA조적수술절구교장、수술시간교장、술중실혈량교다. 결론 LISS화PFNA치료고골조륭간골절균가취득교호적료효,대우노년인적고골조륭간골절PFNA구유우세.
Objective To compare the clinical efficacy of less invasive stabilization system ( LISS) and proximal femoral nail antiro-tation blade ( PFNA) in the senior intertrochanteric fractures .Methods A total of 48 patients of intertrochanteric fractures from Decem-ber 2009 to December 2012 were retrospectively analyzed .The patients were divided into two groups according to the different methods of operation:LISS group (n=24) and PFNA group (n=24).Operation time, intraoperative blood loss, fracture healing time, Harris func-tion scores and incidence of complications after operation were compared , in order to evaluating the effect of two methods .The analysis of viariace,LSD-T test and χ2 test were used for data analysis .Results The range of followed -up was 10-23 months, There was not sta-tistically significant between two groups , according to incidence of complications after operation , fracture healing time and Harris function scores , but LISS group got longer incision , longer surgery time and more intraoperative blood loss .Conclusion LISS and PFNA are both effective methods to treat senile intertrochanteric fractures , compared with LCP , PFNA is an ideal method of senile intertrochanteric frac-tures.