PFNA和DH治疗老年人股骨粗隆间骨折的临床疗效观察.pdfVIP

Clinical Efficacy of PFNA and DHS in Elderly patients with Intertrochanteric Fractures Specialty: Orthopedics of TCM Author: Zhu Hai tao Tutor: Prof Qi shang Feng Abstract Objective: To observe the clinical effect of anti-rotation of proximal femoral nail (PFNA) and the dynamic hip screw (DHS) in elderly intertrochanteric fracture, the clinical efficacy of the two kinds of internal fixation methods were compared, summed up the respective characteristics of the two kinds of internal fixation methods provide the basis for the clinical treatment of senile femoral intertrochanteric fracture surgery. Methods: Orthopaedics, Affiliated Hospital of Shandong University of Traditional Chinese Medicine to meet the inclusion criteria for patients with intertrochanteric fracture cases hospitalized since April 2010 to December 2011. The PFNA treatment of 22 cases, DHS treatment of 18 patients, standard treatment of fracture healing. Observe the treatment process and efficacy of the two groups of patients, and for statistical analysis, to make analysis and evaluation of the efficacy of two methods. Results: the PFNA and DHS compared the operative time, incision length, blood loss, fracture healing time, and other aspects of P 0.05 was statistically significant, in terms of hospital stay, P 0.05 not statistically significant. Sander,s score DHS group in hip trauma excellent rate of 83%, PFNA group rate of 91%. Conclusion: PFNA and DHS in the treatment of elderly intertrochanteric fractures have good results; PFNA group and DHS group compared with the minimally invasive hip functional recovery of the degree has advantages; PFNA indications are widely elderly patients with intertrochanteric intercondylar fracture of the id