CAJ | 학술논문

目的：探析PFNA治疗不稳定性老年股骨粗隆间骨折的疗效。方法随机抽选该院2011年1月—2014年12月治疗的80例不稳定性老年股骨粗隆间骨折患者,分为两组：观察组与对照组,分别给予PFNA治疗与股骨近端解剖锁定钢板进行治疗,对比两组患者的临床疗效。结果观察组患者的术中出血量、手术时间分别是(111±34)mL、(44±16)min,对照组分别是(261±34)mL、(76±24)min,差异性显著(P<0.05)。观察组患者的骨折愈合时间是(13.5±2.5)周,对照组是(14.0±2.5)周,无显著差异性(P>0.05)。观察组患者的Harris功能评价优良率是92.5%,对照组是82.5%,显著差异性(P>0.05)。结论PFNA治疗不稳定性老年股骨粗隆间骨折,能够提高患者骨折固定的稳定性,减轻患者受到的损伤。
목적：탐석PFNA치료불은정성노년고골조륭간골절적료효。방법수궤추선해원2011년1월—2014년12월치료적80례불은정성노년고골조륭간골절환자,분위량조：관찰조여대조조,분별급여PFNA치료여고골근단해부쇄정강판진행치료,대비량조환자적림상료효。결과관찰조환자적술중출혈량、수술시간분별시(111±34)mL、(44±16)min,대조조분별시(261±34)mL、(76±24)min,차이성현저(P<0.05)。관찰조환자적골절유합시간시(13.5±2.5)주,대조조시(14.0±2.5)주,무현저차이성(P>0.05)。관찰조환자적Harris공능평개우량솔시92.5%,대조조시82.5%,현저차이성(P>0.05)。결론PFNA치료불은정성노년고골조륭간골절,능구제고환자골절고정적은정성,감경환자수도적손상。
Objective To explore the effect of proximal femoral nail anti-rotation (PFNA) in the treatment of elderly patients with unstable femoral intertrochanteric fracture. Methods 80 elderly patients with unstable femoral intertrochanteric fracture admitted to our hospital between January 2011 and December 2014 were randomly selected and divided into observation group and control group, in which PFNA and proximal femur anatomic locking plate were used respectively for the treatment. The clinical effects were compared between the two groups. Results The intraoperative blood loss, operation duration, excellent-good rate according to Harris scores of the observation group and the control group were(111±34)mL,(44±16)min, 92.5%and (261±34)mL,(76±24)min, 82.5%, and the differences were statistically significant(P>0.05). The fracture healing times of the two groups were (13.5±2.5)weeks and (14.0±2.5)weeks, and the difference was not statistically significant (P<0.05). Conclusion PFNA in the treatment of elderly patients with unstable femoral intertrochanteric fracture can provide good fixation and fewer damages to them.