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股骨大粗隆柄型假体与股骨近端防旋髓内钉治疗高龄股骨转子间不稳定性骨折疗效比较

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Keywords: 股骨大粗隆柄型,股骨近端防旋髓内钉,股骨转子间骨折,高龄

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Abstract:

目的对比分析股骨大粗隆柄型(GTF)假体与股骨近端防旋髓内钉(PFNA)治疗高龄股骨转子间不稳定性骨折的疗效。方法选取高龄股骨转子间不稳定性骨折的典型手术病例60例,GTF和PFNA各30例。随访并统计相关参数。结果下床活动时间、完全负重时间、Harris近期评分等方面GTF假体组优于PFNA组;而在手术时间、术中出血量、术后引流量、住院时间和住院费用等方面PFNA组优于GTF假体组(P<0.05)。结论GTF型假体组能够早期功能锻炼,Harris近期评分高;而PFNA具有手术及住院时间短、创伤小、出血少和费用少等优点。远期髋关节功能两组无明显不同。

 References

[1]  Zhang Ming,LE guoping. Comparision between artificial femoralhead replacem ent and dynam ic hip screw(DHS)internal fixation for femoral intertrochanteric fractures in elderly patients[J].Orthopedic Journal of China,2009,17(17):1349-1351.
[2]  Marks R. Hip fracture epidemiological trends,outcomes,and risk factors,1970-2009[J].Int J Gen Med,2010,8(3):1-17.
[3]  TANG shangquan,YANG shuhua. Treatment current situation of femoral intertrochanteric fracture[J].Chin J Joint Surg(Electronic Edition),2009,3(3):363-367.
[4]  Simunovic N, Devereaux PJ, Sprague S,et al. Effect of early surgery after hip fracture on mortality and complications: systematic review and meta-analysis[J]. CMAJ,2010,182(15):1609-1616.
[5]  Grisell M,Moed BR,Bledsoe JG,et al. A biomechanical comparison of trochanteric nail proximal screw configurations in a subtrochanteric fracture model[J]. J Orthop Trauma,2010,24(6):359-363.
[6]  徐慰凯,陈芒.PFNA内固定治疗高龄股骨粗隆间骨折[J].临床骨科杂志,2012,18(1):72-74.
[7]  白志刚,牛东生,马军,等.髋关节置换术治疗高龄不稳定性股骨转子间骨折32例[J].中国骨质疏松杂志,2011,17(11):964-968.
[8]  刘阳,周伟,黄小强,等.粗隆柄关节置换与动力髋螺钉内固定治疗高龄股骨粗隆间骨折的疗效分析[J].中国骨与关节损伤杂志,2007,22(12):1030-1031.
[9]  潘檀,赵致良,郭标,等.大转子式股骨柄置换及股骨近端防旋髓内钉治疗高龄股骨转子间骨折[J].临床骨科杂志,2012,15(3):271-273.

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