中国伤残医学2024,Vol.32Issue(18) :26-28,36.DOI:10.13214/j.cnki.cjotadm.2024.018.007

股骨近端防旋髓内钉内固定术治疗股骨粗隆间骨折患者的临床效果分析

Clinical Effect Analysis of Proximal Femoral Nail Antirotation Internal Fixation in the Treatment of Patients with Intertrochanteric Fracture of Femur

王锦付
中国伤残医学2024,Vol.32Issue(18) :26-28,36.DOI:10.13214/j.cnki.cjotadm.2024.018.007

股骨近端防旋髓内钉内固定术治疗股骨粗隆间骨折患者的临床效果分析

Clinical Effect Analysis of Proximal Femoral Nail Antirotation Internal Fixation in the Treatment of Patients with Intertrochanteric Fracture of Femur

王锦付1
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作者信息

  • 1. 江苏省宿迁市泗洪县分金亭医院骨科,江苏 宿迁 223900
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摘要

目的:探讨股骨近端防旋髓内钉(PFNA)内固定术治疗股骨粗隆间骨折患者的临床效果.方法:选取泗洪县分金亭医院 2021年 1月—2023年 12月收治的 60例股骨粗隆间骨折患者为研究对象,随机分为对照组及研究组,各30例.对照组行股骨近端锁定钢板内固定术,研究组行PFNA内固定术.比较两组患者的围手术期指标、髋关节功能及术后并发症发生情况.结果:研究组的手术时间、术后卧床时间、愈合时间均短于对照组,差异均有统计学意义(P<0.05).治疗后,研究组的Harris髋关节功能评分量表中各项评分均高于对照组,差异均有统计学意义(P<0.05).研究组的术后并发症发生率为 3.33%,低于对照组的 26.67%,差异有统计学意义(P<0.05).结论:股骨粗隆间骨折患者接受PFNA内固定术的效果理想,能有效改善髋关节功能,促进骨折愈合,减少并发症,具有较高的应用价值.

Abstract

Objective:To investigate the clinical effect of proximal femoral nail antirotation(PFNA)internal fixation in the treatment of patients with intertrochanteric fracture of femur.Methods:A total of 60 patients with intertrochanteric fracture of femur admitted to Sihong County Fenjinting Hospital from January 2021 to December 2023 were selected as the study objects,and were randomly divided into a control group and a study group,with 30 cases in each group.The control group underwent proximal femoral locking plate internal fixation,and the study group underwent PFNA internal fixation.The perioperative indexes,hip function and postoperative complications were compared between the two groups.Results:The operation time,postoperative bed time and healing time of the study group were shorter than those of the control group,the differences were statistically significant(P<0.05).After treatment,the scores of Harris hip scale in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of postoperative complications in the study group was 3.33%,lower than 26.67%in the control group,and the difference was statistically significant(P<0.05).Conclusion:Patients with intertrochanteric fracture of femur received PFNA internal fixation effect is ideal,can effectively improve hip function,promote fracture healing,reduce complications,has a high application value.

关键词

股骨粗隆间骨折/股骨近端防旋髓内钉内固定/髋关节功能/生活质量

Key words

Intertrochanteric fracture of femur/Proximal femoral nail antirotation internal fixation/Hip function/Quality of life

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出版年

2024
中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
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