摘要
目的观察和对比Gamma3钉与PFNA治疗老年不稳定股骨粗隆间骨折的疗效。方法选取2011年12月—2012年12月本院收治的老年不稳定股骨粗隆间骨折患者100例作为研究对象,均应用Gamma 3钉或PFNA钉内固定术进行治疗,根据治疗方式分为Gamma 3钉组(43例)和PFNA组(57例),记录和对比2组患者的手术时间、术中出血量;对2组患者进行为期1年的随访,记录和比较骨折愈合时间,随访期末按照Harris髋关节创伤功能评分标准对患者疗效进行评定和比较。结果 2组患者骨折愈合时间的差异无统计学意义(P>0.05),疗效判定结果差异也无统计学意义(P>0.05);Gamma 3钉组和FNA组疗效优良率分别为93.0%和94.7%;Gamma3钉组患者的手术时间和术中出血量均显著高于PFNA组(P<0.05)。结论 Gamma 3钉和PFNA内固定术治疗老年不稳定股骨粗隆间骨折的疗效相当,都为较理想的治疗方法,且PFNA内固定术对患者的手术创伤较小。
Objective To observe and compare the efficacy of Gamma3 nail and PFNA in the treatment of the elderly patients with unstable intertrochanteric fractures.Methods 100 elderly patients with unstable intertrochanteric fractures were selected as the research objects.The patients were treated with Gamma 3 nail or PFNA nail for internal fixation treatment,and they were divided into the Gamma 3 nail group （n =43）and the PFNA group （n =57）according to the treatment methods.The operation time,intraoperative volume of bleeding were recorded and compared.Re-sults Ratio of the patients with excellent or good curative effects of the two groups were 93% and 94.7% respectively.The operation time and the amount of intraoperative bleeding of the patients in the Gamma3 nail group were significantly higher than those of the PFNA group （P 〈0.05）.Con-clusion The curative effects of Gamma3 nail and PFNA internal fixation in the treatment of the el-derly patients with unstable intertrochanteric fractures are equally pretty.Both of them are the ideal methods of.Meanwhile,the operation trauma of PFNA internal fixation to patients is relatively smaller.
出处
《实用临床医药杂志》
CAS
2014年第9期101-103,共3页
Journal of Clinical Medicine in Practice
