Clinical study of PFNA-Ⅱ internal fixation in treatment of unstable intertrochanteric femoral fracture of femur in elder patients

JIANG Qinwen; LAI Peiqun; HUANG Jijia; HUANG Weizhen; YANG Zhousheng

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Clinical study of PFNA-Ⅱ internal fixation in treatment of unstable intertrochanteric femoral fracture of femur in elder patients

更新时间：2023-05-22

- Clinical study of PFNA-Ⅱ internal fixation in treatment of unstable intertrochanteric femoral fracture of femur in elder patients
- null Issue 6, Pages: 476(2019)
- 作者机构：
  
  普宁市人民医院骨外科，广东普宁,515300
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2019，
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JIANG Qinwen, LAI Peiqun, HUANG Jijia, et al. Clinical study of PFNA-Ⅱ internal fixation in treatment of unstable intertrochanteric femoral fracture of femur in elder patients. [J]. null (6):476(2019)
DOI：

JIANG Qinwen, LAI Peiqun, HUANG Jijia, et al. Clinical study of PFNA-Ⅱ internal fixation in treatment of unstable intertrochanteric femoral fracture of femur in elder patients. [J]. null (6):476(2019) DOI：

摘要

目的探讨微创PFNA-Ⅱ内固定术治疗老年不稳定型股骨粗隆间骨折的疗效。方法选择2015年11月至2017年5月普宁市人民医院收治的60例老年不稳定型股骨粗隆间骨折患者，按照手术方式不同分为2组，以微创PFNA-Ⅱ内固定术治疗的患者为内固定组，以人工股骨头置换术治疗的患者为人工关节组，每组30例。对比2组患者手术情况、疗效、并发症发生情况及功能恢复情况。结果内固定组手术情况优于人工关节组，差异具有统计学意义(P<0.05)；内固定组治疗总有效率为96.67%，人工关节组为90.00%，差异无统计学意义(P>0.05)；内固定组并发症发生率为13.33%，人工关节组为46.67%，差异具有统计学意义(P<0.05)；2组患者治疗后3个月Harris评分比较差异有统计学意义(P<0.05)。结论微创PFNA-Ⅱ内固定术治疗老年不稳定型股骨粗隆间骨折能够帮助患者提高术后恢复效果，降低并发症发生率。

Abstract

Objective To investigate the clinical effect of PFNAII internal fixation in the treatment of unstable intertrochanteric fractures in the elder patients. Methods A total of 60 senile patients with unstable femoral intertrochanteric fracture in Puning people′s hospital from November 2015 to May 2017 were selected and divided into two groups according to different surgical methods.Patients received PFNA-Ⅱ internal fixation were regarded as internal fixation group

while patients received hemiarthroplasty treatment were regarded as the artificial joint group

with 30 cases in each group.The curative effect

the incidence of complications and functional recovery of the two groups were compared. Results The operation situation of internal fixation group was better than that of the artificial joint group

with statistically significant differences(P<0.05).The total effectiveness rate of internal fixation group was 96.67%

while 90% in the artificial joint group

the difference was no significant(P>0.05).The incidence of complications in internal fixation group and the artificial joint group were 13.33% and 46.67% respectively

with statistically significant differences(P<0.05).The Harris score between two groups in 3 months postoperation had statistically significant difference(P<0.05). Conclusion Minimally invasive PFNAII internal fixation can improve postoperative recovery effect and reduce postoperative complication for the elderly with unstable intertrochanteric fractures.

关键词

微创PFNA-Ⅱ内固定股骨粗隆间骨折人工股骨头置换术老年

Keywords

PFNA-Ⅱ internal fixationintertrochanteric fractureartificial femoral head replacementelderly

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