近端防旋髓内钉与近端锁定钢板治疗老年股骨转子间不稳定骨折的比较观察

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摘要目的比较近端防旋髓内钉与近端锁定钢板治疗老年股骨转子间不稳定骨折的效果。方法分析2012年3月～2017年4月我院收治的76例老年股骨转子间不稳定骨折患者的临床资料，依据固定方式不同分为近端防旋髓内钉治疗组和近端锁定钢板治疗组，每组各38例。比较两组患者的手术状况、临床疗效及术后并发症情况。结果近端防旋髓内钉治疗组患者的手术切口长度、手术时间、术中出血量、术中引流量、住院天数、术后负重时间、骨折愈合时间均少于近端锁定钢板治疗组，近端防旋髓内钉治疗组患者临床治疗的优良率（94.3%）高于近端锁定钢板治疗组（78.9%），近端防旋髓内钉治疗组患者术后并发症的发生率（5.3%）低于近端锁定钢板治疗组（26.3%），差异有统计学意义（P＜0.05）。结论近端防旋髓内钉治疗老年股骨转子间不稳定骨折患者创伤小，优良率高，术后并发症少，值得临床推广应用。

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	司荣飞
	李元耿

关键词 ：近端防旋髓内钉, 近端锁定钢板, 老年, 股骨转子间不稳定骨折, 比较

Abstract：ObjectiveTo compare the effect of proximal femoral nail anti-rotation and proximal locking plate in the treatment of gerontism unstable intertrochanteric fracture.Methods76 cases clinical data of gerontism unstable intertrochanteric fracture patients treated in our hospital from March 2012 to April 2017 were analyzed,and divided into proximal femoral nail anti-rotation group and proximal locking plate group by different fixed mode,38 cases in each group.The operation condition,clinical curative effect,costoperative complications of the two groups were compared.ResultsThe operative incision length,operation time,intraoperative blood loss,intraoperative drainage volume,hospital days,postoperative weight-bearing time,fracture union time of proximal femoral nail anti-rotation group were less than those of proximal locking plate group.The clinical treatment excellent rate(94.3%)of proximal femoral nail anti-rotation group was higher than that of proximal locking plate group(78.9%),the costoperative complications(5.3%)of proximal femoral nail anti-rotation group was lower than that of proximal locking plate group (26.3%),the differences were statistically significant(P＜0.05).ConclusionIn the treatment of the gerontism unstable intertrochanteric fracture patients by proximal femoral nail anti-rotation group,the injury is little,excellent rate is high,costoperative complications is less,and it is worth to be used.

Key words： Proximal femoral nail anti-rotation proximal locking plate gerontism；Unstable intertrochanteric fracture Comparison

引用本文:

司荣飞; 李元耿. 近端防旋髓内钉与近端锁定钢板治疗老年股骨转子间不稳定骨折的比较观察[J]. 中国当代医药, 2018, 25(4): 100-102.
SI Rong-fei;LI Yuan-geng. Observation of the comparison between proximal femoral nail anti-rotation and proximal locking plate in the treatment of gerontism unstable intertrochanteric fracture. 中国当代医药, 2018, 25(4): 100-102.

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[7]	李平，肖善富，陶瑞宝.股骨近端防旋髓内钉和股骨近端锁定钢板治疗老年股骨转子间骨折[J].临床骨科杂志，2016，19（6）：727-729.
[9]	朱孝勇，卢荣怀，杨科，等.股骨近端防旋髓内钉和股骨近端锁定钢板治疗股骨转子间骨折疗效比较[J].临床骨科杂志，2015，18（3）：335－337.
[1]	张建.股骨近端防旋髓内钉与股骨近端锁定钢板治疗高龄股骨转子间不稳定骨折的临床疗效[J].河北医学，2016，22（2）：219-221.
[3]	李群，吴守群，陈优民，等.近端防旋髓内钉与近端锁定钢板治疗老年股骨转子间不稳定骨折的疗效对比分析[J].现代生物医学进展，2016，16（21）：4131-4133.
[5]	谢行思，黄永辉，吴兴源.股骨近端锁定钢板与股骨近端抗旋髓内钉治疗股骨转子间骨折的疗效比较[J].中国中西医结合外科杂志，2016，22（4）：340-343.
[2]	Kumar N，Kataria H，Yadav C.Evaluation of proximal femoral locking plate in unstable extracapsular proximal femoral fractures：Surgical technique in mid term follow up results[J].Clin Orthop Trauma，2014，5（3）：137-145.
[4]	Wu YG，Wang KX，Xian CS，et al.Curative effectiveness of two internal fixation methods in the treatment of unstable intertrochanteric fractures in the elderly[J].Orthopaedics，2014，5（1）：36-39.
[6]	Voleti PB，Liu SY，Baldwin KD，et al.Intertrochanteric femur fracture stability：a surrogate for general health in elderly patients[J].Geriatr Orthop Surg Rehabil，2015，6（3）：192-196.
[8]	Desteli EE，Imren Y，Erdo an M，et al.Quality of life following treatment of trochanteric fractures with proximal femoral nail versus cementless bipolar hemiarthroplasty in elderly[J].Clin Invest Med，2015，38（1）：63-72.
[10]	Chinzei N，Hiranaka T，Niikura T，et al.Comparison of the sliding and femoral head rotation among three different femoral head fixation devices for trochanteric fractures[J].Clin Orthop Surg，2015，7（3）：291-297.
[11]	吴长明，王立山，侯福安.股骨近端解剖锁定钢板与股骨近端防旋髓内钉治疗股骨转子间骨折的有效性和安全性[J].医学综述，2017，23（3）：609-612，616.
[12]	Ma JX，Wang J，Xu WG，et al.Biomechanical outcome of proximal femoral nail antirotation is superior to proximal femoral locking compression plate for reverse oblique intertrochanteric fractures：a bio mechanical study of intert rochanteric fractures[J].Acta Orthop Traumatol Turc，2015，49（4）： 426-432.
[13]	李晓，谭海涛，陆俭军.PFNA钉与股骨近端外侧锁定钢板治疗股骨转子间骨折疗效比较分析[J].广西医科大学学报，2014，4（25）：678-680.
[14]	杨玉山，张世浩，曹湘豫，等.股骨近端防旋髓内钉治疗老年股骨转子间骨折围术期失血量的影响因素分析[J].中国实用医刊，2017，44（15）：12-14.
[15]	林基.股骨近端抗旋髓内钉和锁定钢板治疗老年股骨转子间骨折患者综合疗效评价[J].山西医药杂志，2017，46（7）：751-753.
[16]	陈勍，刘钟，陈文亮，等.股骨近端防旋髓内钉固定联合口服仙灵骨葆胶囊治疗肾阳虚型骨质疏松性股骨转子间骨折[J].中医正骨，2017，29（7）：69-70.