股骨近端防旋髓内钉内固定术治疗不稳定型股骨粗隆间骨折的效果分析OA
Analysis of the Effect of Proximal Femoral Nail Antirotation Internal Fixation in the Treatment of Unstable Intertrochanteric Femoral Fractures
目的:探究股骨近端防旋髓内钉(PFNA)内固定术治疗不稳定型股骨粗隆间骨折患者的临床效果.方法:回顾性分析 2022年 1月—2024年 3月四川省八一康复中心收治的 85例不稳定型股骨粗隆间骨折患者资料,根据手术方式的不同将其分为对照组(n=42)及研究组(n=43).研究组采用PFNA内固定术治疗,对照组采用股骨近端解剖型锁定钢板(PFLP)内固定术治疗.比较两组围手术期指标、髋关节功能、应激指标及并发症发生情况.结果:研究组的手术切口长度短于对照组,出血量少于对照组,手术时间、术后开始负重时间及骨折愈合时间均短于对照组,差异均有统计学意义(P<0.05).术后 6个月,研究组的Harris髋关节功能评分高于对照组,差异有统计学意义(P<0.05).术后 24 h,研究组的血管紧张素Ⅱ、超氧化物歧化酶、去甲肾上腺素水平均低于对照组,差异均有统计学意义(P<0.05).研究组的术后并发症发生率为 4.65%,低于对照组的 19.05%,差异有统计学意义(P<0.05).结论:对于不稳定型股骨粗隆间骨折患者,采用PFNA内固定术进行治疗,可降低手术创伤,缩短手术时间,促进骨折愈合,改善其髋关节功能,降低机体应激水平,减少术后并发症的发生.
Objective:To explore the clinical effect of proximal femoral nail antirotation(PFNA)internal fixation in the treatment of patients with unstable intertrochanteric femoral fractures.Methods:The data of 85 patients with unstable intertrochanteric femoral fractures admitted to Sichuan Bayi Rehabilitation Center from January 2022 to March 2024 were retrospectively analyzed.They were divided into a control group(n=42)and a study group(n=43)according to the different surgical methods.The study group was treated with PFNA internal fixation,while the control group was treated with proximal femoral anatomical locking plate(PFLP)internal fixation.The perioperative indicators,hip joint function,stress indicators and the occurrence of complications of the two groups were compared.Results:The incision length of the study group was shorter than that of the control group,the amount of bleeding was less than that of the control group,and the operation time,the time to start weight-bearing after operation and the fracture healing time were shorter than those of the control group,the differences were statistically significant(P<0.05).Six months after surgery,the Harris Hip Function Scale score of the study group was higher than that of the control group,the difference was statistically significant(P<0.05).At 24 hours after surgery,the levels of angiotensin Ⅱ,superoxide dismutase and norepinephrine in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).The incidence of the postoperative complications in the study group was 4.65%,which was lower than 19.05%in the control group,the difference was statistically significant(P<0.05).Conclusion:For patients with unstable intertrochanteric femoral fractures,the use of PFNA internal fixation for treatment can reduce surgical trauma,shorten the operation time,promote fracture healing,improve the hip joint function of patients,reduce the body's stress levels,and reduce the occurrence of postoperative complications.
牟帅;王飞;苟远涛;臧振峰
四川省八一康复中心骨科,四川 成都 610000四川省八一康复中心骨科,四川 成都 610000四川省八一康复中心骨科,四川 成都 610000四川省八一康复中心骨科,四川 成都 610000
医药卫生
不稳定型股骨粗隆间骨折股骨近端防旋髓内钉解剖型锁定钢板骨折愈合
Unstable Intertrochanteric femoral fractureProximal femoral nail antirotationAnatomical locking plateFracture healing
《中国伤残医学》 2025 (8)
1-5,5
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