PFNA内固定对高龄股骨粗隆间骨折内固定术后功能恢复的影响研究

Abstract
Figure/Table
References (15)
Related Citation (15)

Download: PDF (0 KB) HTML (34 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the clinical effect of proximal femoral nail anti-rotation (PFNA) in the treatment of intertrochanteric fractures of the elderly. Methods A retrospective selection of 60 elderly patients with intertrochanteric fractures admitted to our hospital from July 2018 to December 2019 was made. According to the different research methods, they were divided into control group and study group, with 30 cases in each group. The control group was treated with locking compression plate (LCP), the study group was treated with PFNA internal fixation. The operation time, hospitalization time, clinical fracture healing time, intraoperative blood loss, Harris hip function, visual analogue scale (VAS) score and complications were observed in the two groups. Results The operation time, hospitalization time and clinical fracture healing time of the study group were shorter than those in the control group, and the amount of intraoperative blood loss was less than that in the control group, the differences were statistically significant (P＜0.05). At 2 weeks and 1 month after surgery, the Harris hip function score of the study group was higher than that of the control group, the difference was statistically significant (P＜0.05); the postoperative VAS score in the study group was lower than that in the control group, the difference was statistically significant (P＜0.05). There was no complication in the study group, and the total complication rate in the control group was 6.67%, there was no significant difference between the two groups (P＞0.05). Conclusion PFNA internal fixation has a significant clinical effect in the treatment of femoral intertrochanteric fractures in the elderly, which can promote postoperative functional recovery, relieve pain, prevent complications, and have high clinical application value.

Key words： PFNA internal fixation Old age Internal fixation of femoral intertrochanteric fractures Functional recovery Pain Complications

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	CAO Tai-yang
	LUO Zhi-mei
	LIU Chuan-lin
	LIU Zhang-sheng
	HUANG Jie
	WANG Xian-fang

Cite this article:

CAO Tai-yang,LUO Zhi-mei,LIU Chuan-lin, et al. Study on effect of PFNA internal fixation on functional recovery after internal fixation of femoral intertrochanteric fractures in elderly[J]. 中国当代医药, 2020, 27(25): 99-101转105.

URL:

https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2020/V27/I25/99

[1]	郑吉润.PFNA 内固定对超高龄股骨粗隆间骨折患者术中出血量及髋关节功能的影响[J].当代医学，2019，25（34）：53-55.
[2]	林晓毅，袁华澄，游戊己.DHS、LPFP、PFN 和PFNA 治疗老年股骨粗隆间骨折临床分析[J].中国骨与关节损伤杂志，2011，26（10）：878-880.
[3]	袁定坤，肖启贤.PFNA 内固定和人工髋关节置换治疗高龄股骨粗隆间骨折的效果对比[J].中国伤残医学，2019，27（10）：42-43.
[4]	时坤.PFNA 内固定与人工股骨头置换术治疗高龄股骨粗隆间骨折的效果比较探讨[J].系统医学，2019，4（13）：80-82.
[5]	路金山.PFNA 内固定与人工股骨头置换术治疗高龄股骨粗隆间骨折的效果对比分析[J].当代医学，2018，24（25）：29-30.
[6]	高佩满.PFNA 内固定与人工股骨头置换治疗高龄不稳定股骨粗隆间骨折的临床对比分析[J].中国伤残医学，2019，27（20）：32-33.
[7]	江涛.PFNA 内固定与人工股骨头置换术治疗高龄股骨粗隆间骨折有效率对比评价[J].中国伤残医学，2019，27（10）：41-42.
[8]	蔡立峰，朱勇，黄金波，等.八珍汤联合股骨近端防旋髓内钉治疗超高龄股骨粗隆间骨折的疗效观察[J].浙江临床医学，2019，21（9）：1185-1186.
[9]	叶茂，王奎，邹毅，等.PFNA 与PF-LCP 治疗老年股骨粗隆间骨折的疗效分析[J].贵州医药，2014，38（9）：828-830.
[10]	夏平光，蔡贤华，王庆，等.股骨近端锁定钢板与股骨近端防旋髓内钉治疗AO A3 型老年股骨粗隆间骨折的疗效比较[J].中国老年学杂志，2014，34（8）：2276-2277.
[11]	李彦文.三种内固定方法治疗老年股骨粗隆间骨折的效果比较[J].中国临床新医学，2017，10（11）：1079-1082.
[12]	李鑫.探讨闭合复位后PFNA 内固定治疗高龄股骨粗隆间骨折的临床疗效[J].中国实用医药，2019，14（31）：30-31.
[13]	李兴艳，张津明，鲍远，等.髓内、外内固定与人工关节置换术治疗高龄股骨粗隆间骨折疗效对比研究[J].中国骨与关节损伤杂志，2016，31（10）：1030-1033.
[14]	郭伟华，王虎，李保良，等.闭合复位PFNA 方法治疗老年股骨粗隆间骨折的临床疗效分析[J].中国实用医药，2017，12（32）：18-20.
[15]	文皓，丁雪勇，徐希彦，等．3 种不同方式内固定治疗老年稳定型股骨粗隆间骨折的临床疗效观察[J].重庆医学，2015，44（23）：3224-3226.