两种术式治疗高龄不稳定股骨转子间骨折的临床效果研究

发布时间：2018-04-04 17:39

本文选题：骨折　切入点：不愈合　出处：《重庆医学》2017年01期

【摘要】：目的研究股骨近端防旋髓内钉(PFNA)和人工股骨头置换术(FHPR)治疗高龄骨质疏松不稳定股骨转子间骨折的临床疗效。方法选取该院2010-2014年高龄严重骨质疏松不稳定型转子间骨折患者共30例,采用区组随机分组法将患者分成A、B两组(各15例患者)。A组采用PFNA治疗方式,B组采用FHPR治疗方式。比较两组病例术中出血量、手术时间、平均住院时间、下地活动时间及术后6周Harris评分,观察两种手术方式治疗老年严重骨质疏松性不稳定型股骨转子间骨折的近期疗效。结果平均失血量A组为(200.3±50.6)mL,B组为(456.2±60.2)mL,两组比较差异有统计学意义(P0.05)。A组术后平均下地活动时间为(30.2±10.1)d,B组为(14.2±7.0)d,差异有统计学意义(P=0.005)。结论 FHPR是治疗老年性不稳定性转子间骨折的有效方法。
[Abstract]:Objective to study the clinical effect of proximal femoral intramedullary nail (PFNA) and artificial femoral head replacement (FHPR) in the treatment of unstable intertrochanteric fracture of the femur in elderly patients.Methods A total of 30 patients with severe unstable intertrochanteric fracture of osteoporosis were selected from 2010 to 2014. The patients were randomly divided into two groups: group A (n = 15) and group B (n = 15) were treated by PFNA. Group B was treated with FHPR.The amount of intraoperative bleeding, operative time, average hospitalization time, floor movement time and Harris score at 6 weeks after operation were compared between the two groups, and the short-term efficacy of the two surgical methods in the treatment of senile severe unstable femoral intertrochanteric fracture was observed.Conclusion FHPR is an effective method for the treatment of senile unstable intertrochanteric fracture.
【作者单位】：重庆市大足区人民医院骨科;
【分类号】：R687.3

【相似文献】