PFNA 与LCP在老年不稳定股骨粗隆间骨折治疗中的疗效观察

赵毅，彭文学*

（泾阳县医院，陕西 咸阳，713700）

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摘要：

目的 探讨防旋股骨近端髓内钉（PFNA）及锁定加压钢板（LCP）内固定在老年不稳定股骨粗隆间骨折治疗中的临床疗 效。方法 以我院2013 年5 月至2017 年5 月收治的170 例老年不稳定股骨粗隆间骨折患者为研究对象，采用双盲法将患者 分为对照组和研究组，每组85 例。对照组患者在术中行LCP 内固定，研究组患者在术中行PFNA 内固定。对比两组患者的手 术情况、髋关节功能及术后并发症发生情况。结果 研究组患者的手术时间、术中出血量、切口长度、住院时间及骨折愈合 时间均显著优于对照组（P<0.05）；研究组髋关节功能优良率及并发症总发生率分别为95.29%、2.35%，优于对照组的75.29%、15.29%（P<0.05）。结论 与LCP 比较，PFNA 在改善患者的髋关节功能、减少并发症、提高手术效果方面效果更为显著，在老年 不稳定股骨粗隆间骨折治疗中具有重要的临床应用意义。

关键词：防旋股骨近端髓内钉；锁定加压钢板；股骨粗隆间骨折；并发症

中图分类号：R687.3文献标志码：A文章编号：2096-1413(2018)06-0062-02

Effect observation of PFNA and LCP in the treatment of elder patients with instability femoral intertrochanteric fracture
ZHAO Yi, PENG Wen-xue *
(the Hospital of Jingyang County, Xi``an 713700, China)

ABSTRACT: Objective To investigate the clinical effects of proximal femoral nail antirotation (PFNA) and locking compression plate (LCP) in the treatment of unstable femoral intertrochanteric fractures in the elderly. Methods A total of 170 cases of elder patients with unstable femoral intertrochanteric fractures admitted in our hospital from May 2013 to May 2017 were enrolled in this study, and divided into control group and research group according to double-blind method, with 85 cases in each group. Patients in the control group were given LCP internal fixation, while patients in the research group were given PFNA internal fixation. The surgery situation, hip joint function and occurrence of complications after operation were compared. Results The operation time, intraoperative blood loss, incision length, hospital stay and fracture healing time in the research group were significantly better than those in the control group (P<0.05). The excellent and good rate of hip function and the total incidence of complications in the research group were 95.29% and 2.35% respectively, which were significantly superior to 75.29% and 15.29% of the control group (P<0.05). Conclusion Compared with LCP, PFNA has more advantages in improving the hip functions of patients, reducing the complications and raising the operative results, which has important clinical significance in elder patients with instability intertrochanteric fracture.
KEYWORDS: proximal femoral nail antirotation; locking compression plate; femoral intertrochanteric fractures; complications

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