Effect of Closed Reduction and Proximal Femoral Nail Anti-Rotation Intramedullary Fixation in the Treatment of Elderly Patients with Intertrochanteric Fracture of Femur
Effect of Closed Reduction and Proximal Femoral Nail Anti-Rotation Intramedullary Fixation in the Treatment of Elderly Patients with Intertrochanteric Fracture of Femur
Objective:To investigate the effect of closed reduction and proximal femoral nail anti-rotation(PFNA)intramedullary fixation in the treatment of elderly patients with intertrochanteric fracture of femur.Methods:A total of 80 elderly patients with intertrochanteric fracture of femur they were treated in Xinjian District People's Hospital of Nanchang City from January 2017 to October 2023 were selected as the study objects,randomly divided into a control group and a study group by drawing lots,with 40 cases in each group.The control group underwent proximal femoral locking plate internal fixation,the study group underwent closed reduction PFNA intramedullcoy fixation.The clinical indexes,hip function,hip motion,pain degree and the occurrence of complications were compared between the two groups.Results:The operation time,the first time to get out of bed after surgery,the average length of hospital stay and the fracture healing time in the study group were shorter than those in the control group,the intraoperative blood loss was less than that in the control group,with statistical significance(P<0.05).At 3 and 6 months after surgery,hip function scores and hip motion in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).At 6 h,1,2 and 3 d after surgery,the scores of pain degree in the study group were lower those that in the control group,the differences were statistically significant(P<0.05).The complication rate of the study group was 5.00%,which was lower than 20.00%of the control group,the difference was statistically significants(P<0.05).Conclusion:In elderly patients with intertrochanteric fracture of femur,closed reduction with PFNA intramedullgry fixation can reduce the intraoperative blood loss,shorten the operation time,the first postoperative getting out of bed,the average length of hospital stay,the fracture healing time,promote the recovery of hip function and motion,reduce the degree of pain,have a good safety.
关键词
股骨粗隆间骨折/股骨近端锁定钢板内固定术/闭合复位/股骨近端防旋髓内钉/老年患者
Key words
Intertrochanteric fracture of femur/Proximal femoral locking plate internal fixation/Closed reduction/Proximal femoral Nail anti-rotation/Elderly patients
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