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闭合复位经皮股骨近端解剖锁定板治疗高龄股骨粗隆间骨折的疗效
Curative effect of closed reduction and percutaneous proximal femur anatomic locking plate in treatment of senile intertrochanteric fractures
目的 对比动力髋螺钉(DHS)与股骨近端解剖锁定板(PFLP)内固定治疗高龄股骨粗隆间骨折(IFF)疗效。方法 将我院收治的149例高龄IFF患者依据手术方式差异分组，其中75例给予PFLP内固定设为PFLP组，其余74例给予DHS内固定设为DHS组，对比两组疗效。 结果 PFLP组手术所用时间（81.1±6.9）min与失血量（254.3±47.9）ml均明显低于DHS组的（86.8±12.5）min、（286.1±34.7）ml（P<0.05）。两组术前功能评分差异不大（P>0.05）；PFLP组术后第90天、180天、360天评分分别为70.6±6.8、81.5±7.3、83.5±8.6，明显高于DHS组的44.9±7.0、52.7±6.3、61.5±6.9，术后不同时间点PFLP组功能评分明显更理想（P<0.05）。 结论 采用闭合复位经皮PFLP内固定治疗高龄IFF患者，操作简便且疗效确切。
Objective To compare the curative effect of the dynamic hip screw (DHS) and proximal femur anatomic locking plate internal fixation (PFLP) for senile intertrochanteric fractures (IFF). Methods A total of 149 elderly patients with IFF. According to the operation way, the patients were classified as PFLP internal fixation group (75 cases) and DHS internal fixation group (74 cases). The curative effect was compared between two groups. Results The used time (81.1±6.9)min and blood loss (254.3 ± 47.9 ml) of the PFLP group were significantly less than DHS group (86.8±12.5)min and (286.1±34.7 ml) (P<0.05). Preoperative functional scores of the two groups were similar (P> 0.05). The postoperative scores after 90 days, 180 days, 360 days were 70.6±6.8, 81.5±7.3, 83.5±8.6 in the PFLP group which were significantly higher than that of DHS group (44.9±7.0, 52.7±6.3,61.5±6.9) (P<0.05). Conclusion The closed reduction and percutaneous PFLP internal fixation in the treatment of elderly patients with IFF has better curative effect.
闭合复位 / 股骨近端解剖锁定板 / 股骨粗隆间骨折 / 临床解剖学 / 人
Closed reduction / Proximal femur anatomic locking plate / Intertrochanteric fractures / Clinical anatomy / Human
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