动力髋螺钉和股骨近端防旋钉治疗股骨转子间骨折的疗效
比较
陈舰;胡孙君;陈杰;应正然
【期刊名称】《临床骨科杂志》 【年(卷),期】2011(014)005
【摘要】目的 探讨应用动力髋螺钉(DHS)和股骨近端防旋钉(PFNA)治疗股骨转子间骨折的临床疗效.方法 应用DHS和PFNA治疗股骨转子间骨折患者65例,DHS组37例,PFNA组28例,对两组手术时间、出血量和术后疗效进行分析.结果 DHS组有1例出现内植物感染,有2例螺钉断裂、髋内翻,再次行手术;术后1年29例疗效优良,优良率为78.4%.PFNA组患者未出现术后感染和内固定失败断裂;术后1年24例疗效优良,优良率为85.7%.结论 PFNA 是治疗股骨转子间骨折较牢靠、有效的内固定方式,手术创伤小、操作简单、固定牢靠、抗旋转性强、骨折术后并发症少的特点,尤其适合不稳定的股骨转子间骨折.%Objective To study the significance of different internal fixations of intertrochanteric hip fractures by comparing the effects of using dynamic hip screw( DHS ) and proximal femoral nail antirotation ( PFNA ) as implant.Methods The 65 elder patients with intertrochanteric hip fractures were followed up retrospectively.They were treated with the two kinds of operations: DHS 37 cases( group DHS ), and PFNA 28 cases( group PFNA ), The data of each group were collected for statistical analysis on the following aspects : operative time, blood loss , clinical healing time of fractures, intraoperative complications,
动力髋螺钉和股骨近端防旋钉治疗股骨转子间骨折的疗效比较
