文章摘要
林国兵,沈锋,李远东,陈祥,李秋举,洪志群,王怀云,徐建平.加长型股骨近端髓内钉与股骨近端锁定接骨板治疗股骨转子下粉碎性骨折的效果[J].中国临床保健杂志,2018,21(1):22-25.
加长型股骨近端髓内钉与股骨近端锁定接骨板治疗股骨转子下粉碎性骨折的效果
Comparative study on the treatment of comminuted fractures of the subtrochanteric femur with the application of long PFNA or PFN and Proximal femoral locking plate
投稿时间:2017-02-03  
DOI:10.3969/J.issn.1672-6790.2018.01.007
中文关键词: 髋骨折,粉碎性  骨钉  骨板  外科手术,微创性
英文关键词: Hip fractures,comminuted  Bone nails  Bone Plates  Surgical procedures,minimally invasive〖FL
基金项目:南京军区医学科技创新课题面上项目(11MA116)
作者单位E-mail
林国兵 南京军区福州总医院九五临床部骨二科,莆田 351100 gnbnlin95@163.com 
沈锋 南京军区福州总医院九五临床部骨二科,莆田 351100  
李远东 南京军区福州总医院九五临床部骨二科,莆田 351100 504346765@qq.com 
陈祥 南京军区福州总医院九五临床部骨二科,莆田 351100  
李秋举 南京军区福州总医院九五临床部骨二科,莆田 351100  
洪志群 南京军区福州总医院九五临床部骨二科,莆田 351100  
王怀云 南京军区福州总医院九五临床部骨二科,莆田 351100  
徐建平 南京军区福州总医院九五临床部骨二科,莆田 351100  
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中文摘要:
      目的 探讨股骨近端防旋髓内钉(PFNA)或股骨近端髓内钉(PFN)髓内固定与股骨近端锁定接骨板(PFLP)髓外固定在股骨转子下骨折的治疗效果。方法 通过收集随访资料完整的Seinsheimer分型Ⅲ、Ⅴ型70例转子下骨折患者资料,根据固定方式分为PFNA/PFN髓内固定组、PFLP髓外固定组,对两组患者的手术时间、术中出血量、骨折临床愈合时间、患者开始完全负重时间、术后半年Harris评分,以及出现并发症情况进行观察比较。结果 所有患者进行10~18个月随访,平均随访12个月,PFNA/PFN髓内固定与PFLP髓外固定两组患者在手术时间、出血量、骨折愈合、开始负重时间、术后半年Harris评分,以及并发症方面差异有统计学意义(P<0.05)。结论 PFNA/PFN比PFLP更符合生物学固定原则,是一种目前较为理想的固定方式。
英文摘要:
      Objective To compare the intramedullary fixation PFNA/PFN and extramedullary fixation PFLP on the clinical effect of the treatment of femoral intertrochanteric fractures.Methods 70 cases of subtrochanteric fractures Seinsheimer type Ⅲ-Ⅴtreated in arthor′s department were enrolled and followed up.According to the fixation methods,all the cases were divided into PFNA/PFN intramedullary fixation group,PFLP extramedullary fixation group.Operation time,bleeding volume,fracture clinical healing time,patients began full weight bearing time,6M postoperative Harris score,and complications were recorded and compared.Results All the patients were followed up for 10-18 months.The average follow-up period was 12 months.The difference of operation time,bleeding volume,fracture clinical healing time,patients began full weight bearing time,6M postoperative Harris score,and complications showed statistically significant difference between PFNA/PFN group and PFLP group.Conclusion PFNA/PFN is one of the more ideal method of fixation with better biological fixation than PFLP.
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