CAJ | 학술논문

目的：比较3种内固定物，股骨近端防旋髓内钉（PFNA）、动力髋螺钉（DHS）、股骨近端锁定加压钢板（LCP）在治疗老年股骨粗隆间骨折的效果评价。方法纳入研究对象的122例老年骨折患者中，采用PFNA固定的有43例，采用DHS固定的有32例，采用LCP固定的有47例，通过临床记录及随访统计手术操作时间、术中出血量、术后并发症发生率以及术后髋关节功能恢复情况。结果 PFNA手术组在骨折愈合时间及髋关节功能评分上与后两组（DHS、LCP）比较差异无统计学意义，但手术操作时间、术中出血量比较差异有统计学意义。122例患者均无相关并发症。结论 PFNA设计合理，固定牢固可靠，是治疗股骨粗隆间骨折的理想内固定器材，其微创操作、出血少的优点，更适合老年骨质疏松患者的骨折治疗。
목적：비교3충내고정물，고골근단방선수내정（PFNA）、동력관라정（DHS）、고골근단쇄정가압강판（LCP）재치료노년고골조륭간골절적효과평개。방법납입연구대상적122례노년골절환자중，채용PFNA고정적유43례，채용DHS고정적유32례，채용LCP고정적유47례，통과림상기록급수방통계수술조작시간、술중출혈량、술후병발증발생솔이급술후관관절공능회복정황。결과 PFNA수술조재골절유합시간급관관절공능평분상여후량조（DHS、LCP）비교차이무통계학의의，단수술조작시간、술중출혈량비교차이유통계학의의。122례환자균무상관병발증。결론 PFNA설계합리，고정뢰고가고，시치료고골조륭간골절적이상내고정기재，기미창조작、출혈소적우점，경괄합노년골질소송환자적골절치료。
objective To investigate the therapeutic effect of proximal femoral nail anti-rotation(PFNA)、Dynamic hip screw(DHS)and Locking compression plate(LCP)for treatment of intertrochanteric fracture in the elderly. Methods 122 patients included in the study with intertrochanteric fracture were treated of fracture fixation operation ,43 cases with PFNA fixation ,32 cases with DHS fixation and 47 cases with LCP fixation. The operation time ,intraoperative bleeding and postoperative complications ,postoperative hip joint function were recorded through follow-up and clinical records statistics. Results PFNAgroup had less operative time and intraoperative blood loss compared with the other two groups(DHS、LCP), There were no significant differences on the healing time and hip function score in those groups. There were no complications in all the 122 patients. Conclusion PFNA has the characteristics of reasonable design and reliable fixation strength. It is the appropriate method of the treatment for femoral of intertrochanteric fracture ,especially for those elderly with unstableosteoporosis intertrochanteric fractures for its advantages of less bleeding and minimally invasiveness.