Objective To observe the effect and postoperative recovery of cement-enhanced proximal femoral nail anti-ro-tation(PFNA)in the treatment of the elderly with osteoporotic intertrochanteric fractures,and to evaluate the application effect of PFNA.Methods A total of 80 elderly patients with osteoporotic intertrochanteric fractures admitted to Li-aocheng People's Hospital were enrolled from January 2020 to January 2022.According to the random grouping method,they were divided into the PFNA group(traditional PFNA,n=40)and the cement-enhanced group(cement-enhanced PFNA,n=40).The clinical data of patients were collected.Twelve months after surgery,the Harris score was meas-ured,and the occurrence of complications was recorded.Results There was no significant difference in intraoperative relevant indexes between the two groups(P＞0.05).The leaving bedtime,weight-bearing time,and fracture healing time in the cement-enhanced group were(5.08±0.96)d,(3.14±0.38)weeks and(12.33±1.29)weeks,which were sig-nificantly shorter than those in PFNA group[(7.37±1.01)d,(4.92±0.56)weeks,(17.64±1.75)weeks,P＜0.05].Twelve months after surgery,there was no significant difference in hip Harris scores(pain,function,limb de-formity)between the two groups(P＞0.05),but the hip Harris score(range of motion)in the cement-enhanced group was significantly higher than that in the PFNA group[(4.93±0.58)points vs.(4.61±0.52)points,P＜0.05].The incidence of complications in the cement-enhanced group was significantly lower than that in the PFNA group(P＜O.05).Conclusion Cement-enhanced PFNA is an ideal operation in the treatment of the elderly with osteoporotic intertrochan-teric fracture,with high safety and stability.It can realize early weight-bearing rehabilitation training and is beneficial to recover joint function.
关键词
骨水泥增强型股骨近端防旋髓内钉/骨质疏松/老年/股骨转子间骨折/Harris评分/并发症
Key words
Cement-enhanced proximal femoral nail anti-rotation/Osteoporosis/Old age/Intertrochanteric fracture/Har-ris score/Complication
维普
万方数据