外侧壁危险型股骨粗隆间骨折DHS与PFNA治疗的回顾性对比研究_张世民.pdfVIP

18 22 Vol18, No22 2 0 1 0 1 1 Orthopedic Journalof China Nov2010 ClinicalT reatise DHS PFNA 张世民, 祝晓忠, 黄轶刚, 王 欣, 张英琪, 马 卓 (, 200065) : [ ] DHS ( dynam ic ip screw ) PFNA ( proxmi al femoral nail antirotation ) , [ ] 2007 ~ 2008 PFNA 2005~ 2006 DH S, PFNA 71 ( 19, 52 , 77), DH S 62 ( 24, 38, 755) , , DH S[] ( BADL) S ig (TAD) , PFNA ( 44), DHS ( 106) PFNA ( 25% ) DH S ( 11% ) DHS 5 ( 8% ) , ( 3) , [] DH S , ( PFNA ) : , , , DHS, PFNA, , : R68342 : A : 1005- 8478 ( 2010) 22- 1868- 05 ExtramedullaryDH S and intramedullary PFNA in unstable pertrochanteric fractures with lateral wall risky AO / O A type 31A2. 2 and A2. 3: a clinical retrospective comparisonZHANG Shim in, ZH UX iaozhong, H UANG Yigang, et a.l Department of Orthop ed ic Surgery, ongj iH osp ital, ongj i Un iversity, Shangha i 200065, Ch ina Abstract: [Objective]To compare t e clin ical outcomes between dynam ic ip screw ( DH S) and proxmi al femoral nail anti rotation ( PFNA ) in t e treatm ent of unstab le pertroc anteric fractures (AO /OTA type 31A2. 2 and A2. 3), and to investigate t e mi pact of intraoperative or postoperative lateral w all fracture on functional recovery. [M ethod]Retrospective analysis of wt o co orts of patients treatedw it PFNA in 2007- 2008 ( 71 cases, 19 m en and 52w om en, w it m ean age of 77 years) versus DH S in 2005- 2006 ( 62 cases, 24 men and 38w om en, w it m ean age of 75. 5 years) was perform ed. T e patient demograp ic data, inci dence of lateralw all fracture, re ab ilit