CAJ | 학술논문

目的：探讨牵引床闭合复位股骨近端髓内钉治疗股骨近段骨折的疗效。方法整群选取自2008年4月-2015年5月应用牵引床闭合复位PFNA内固定治疗股骨近段骨折40例作为研究组，同期选取40例行动力髋螺钉治疗的作为对照组；分析比较两组髋关节功能恢复情况。结果研究组髋关节功能恢复优80%高于对照组的60%，差异有统计学意义(P<0.05)。结论牵引床闭合复位股骨近端髓内钉治疗股骨近段骨折具有手术创伤小，可早期功能活动，并发症少等优点。
목적：탐토견인상폐합복위고골근단수내정치료고골근단골절적료효。방법정군선취자2008년4월-2015년5월응용견인상폐합복위PFNA내고정치료고골근단골절40례작위연구조，동기선취40례행동력관라정치료적작위대조조；분석비교량조관관절공능회복정황。결과연구조관관절공능회복우80%고우대조조적60%，차이유통계학의의(P<0.05)。결론견인상폐합복위고골근단수내정치료고골근단골절구유수술창상소，가조기공능활동，병발증소등우점。
Objective To investigate the efficacy of closed reduction with traction table and PFNA in the treatment of proximal femoral fracture. Methods From April 2008 to May 2015, 40 cases with proximal femoral fracture treated by closed reduction with traction table and PFNA were selected as the study group, and other 40 cases with proximal femoral fracture treated by DSH were selected as the control group. And the recovery of hip joint function was compared between the two groups. Results The rate of hip function recovery was much higher in the study group than that in the control group (80% vs 60%) with statistically significant difference(P<0.05). Conclusion For proximal femoral fracture, closed reduction with traction table and PFNA have the advantages of smaller trauma, earlier functional activities, and fewer complications.