资源描述:
《防旋股骨近端髓内钉(PFNA)及解剖型锁定钢板治疗股骨转子间骨折的临床研究.pdf》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、提要目的:本文通过收集运用防旋股骨近端髓内钉(PFNA)及股骨近端解剖型锁定钢板治疗的股骨转子间骨折病例,分析并评价其临床疗效,为今后更深层次的研究提供依据,并为股骨转子间骨折的治疗总结临床经验。方法:本研究选择40例股骨转子间骨折的病人,其中20例采用PFNA方法治疗,20例采用股骨近端解剖型锁定钢板治疗。观察患者手术时间、切口长度、术中出血量、术后并发症、术后下地活动时间等指标,并随访患者骨折愈合时间,对结果进行统计学分析,评定PFNA及股骨近端解剖型锁定钢板的治疗效果。结果:对40例患者临床观察并随访,进行统计学分析,PFNA组与解剖型锁定钢板组在术中出血量、手术持续时间、
2、术后下地时间、并发症及髋关节功能方面比较差异有统计学意义(P<0.05);在骨折愈合时间方面比较差异无统计学意义(P>0.05),说明PFNA具有操作更方便、术中出血少、术后下地活动时间早、并发症少及髋关节功能恢复良好的优点,更加符合生物学固定原则。结论:本研究认为PFNA适合治疗各种类型的股骨转子间骨折,尤其适合老年合并骨质疏松的不稳定型股骨转子间骨折,疗效确切,是目前治疗股骨转子间骨折的理想内固定物,值得临床推广应用。关键词PFNA;股骨近端解剖型锁定钢板;股骨转子间骨折;疗效观察TheClinicalStudyontheTreatmentofIntertrochanteri
3、cFracturebyProximalFemoralNailAnti-rotation(PFNA)andAnatomicalLockingPlateSpeciality:OrthopedicsofTraditionalChineseMedicineAuthor:ChuKaiTutor:Professor...MengKaiAbstractObjective:ThroughcollectingthecasesofintertrochantericfracturetreatedbyProximalFemoralNailAnti-rotation(PFNA)andproximalfem
4、uranatomicallockingplate,analyzeandevaluateitsclinicalefficacyinthefuture,toprovidethebasisfordeeperstudy,andsummarizetheclinicalexperienceinthetreatmentofintertrochantericfracture.Methods:Inthisstudy,40casesofpatientswithintertrochantericfracturearecollected,20casesarePFNAmethodoftreatment,2
5、0casesofproximalfemoralanatomicallockingplatefortreatment.Observinginthepatientswithoperationtime,incisionlength,bloodloss,postoperativecomplications,postoperativeambulationtimeindicators,andfollow-uptimeoffracturehealinginpatients,theresultsarestatisticallyanalyzedtoassessthetherapeuticeffec
6、tofPFNAandproximalfemuranatomicallockingplate.Results:Clinicalobservationon40patientsandfollow-up,throughstatisticalanalysis,thedifferencesbetweenPFNAgroupandanatomicallockingplategroupinbloodloss,operationduration,postoperativeambulation,complicationsandthehipjointfunctionarestatisticallysig
7、nificant(P<0.05);thedifferencesinfracturehealingtimearenotsosignificant(P>0.05),sotheoperationwithPFNAismoreconvenient,lessbloodloss,lesspostoperativeambulation,lesscomplicationsandbetterfunctionalrecoveryofhipjointafteroperation,andmoreinlin