Objective To investigate the therapeutic effects of artificial femoral head replacement and proximal femoral anti rotation intramedullary nail(PFNA)internal fixation for unstable intertrochanteric fractures of the femur(UITFF)in the elderly.Methods Retrospective analysis of 52 elderly patients with UITFF admitted to Affiliated Wudang Hospital of Guizhou Medical University from February 2016 to April 2023,divided into two groups according to different surgical methods,with 26 cases in each group.The control group underwent PFNA internal fixation surgery,while the observation group underwent artificial femoral head replacement surgery,with a continuous follow-up of 3 months.The perioperative indicators,Harris hip score(HHS)and complications between two groups were compered.Results The postoperative bleeding volume of the observation group was(175.74±19.62)mL,which was higher than that of the control group(110.06±20.68)mL,and the surgical time was(63.69±7.11)min,which was longer than that of the control group(58.56±5.60)min.The postoperative bed rest and hospitalization time were(8.33±1.22)d and(7.65±1.04)d,respectively,which were shorter than those of the control group's(10.44±1.75)d and(10.78±1.46)d(P＜0.05).The HHS score of the observation group after treatment was(72.75±5.66)points,which was higher than the control group's(61.45±4.78)points(P＜0.05).The incidence of complications in the observation group(7.69%)was lower than that in the control group(30.77%)(P＜0.05).Conclusion Artificial femoral head replacement has better results in the treatment of elderly UITFF,it can accelerate postoperative recovery,improve hip function,and have low risk of postoperative complications.
关键词
不稳定股骨转子间骨折/人工股骨头置换术/PFNA内固定术/围手术期指标/髋关节功能/并发症
Key words
unstable intertrochanteric femoral fracture/artificial femoral head replacement/PFNA instrumentation/perioperative index/hip function/complications
维普
万方数据