Clinical study of bone fracture with PFNA and DHS in treatment of senile femoral intertrochanteric
- VernacularTitle:PFNA与DHS治疗老年股骨粗隆间骨折的临床研究
- Author:
Songnan HAO
1
Author Information
1. 哈尔滨市第五医院骨九科
- Keywords:
Senile femoral intertrochanteric fracture;
PFNA;
DHS
- From:
China Modern Doctor
2015;(11):62-64
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare operation effects of PFNA and DHS in treatment of femoral intertrochanteric frac-ture. Methods A total of 73 cases of intertrochanteric fracture patients were divided into PFNA group (n=38) and DHS group (n=35) according to the different treatment methods. The function of hip joint were compared between two groups and the operation time, the amount of bleeding and the time of fracture healing were observed and recorded. Results The excellent and good rate of PFNA group and DHS group was 92.1% (35/38) and 80.0% (28/35), the difference was statistically significant between two groups (χ2=4.237, P<0.05). The operation time of group PFNA was(72.7±11.6)min, amount of bleeding during the operation was(84.6±10.7)mL, healing time of fracture was(12.1±1.3)weeks. The amount of bleeding operation time in DHS group was (112.8±10.2)min, amount of bleeding during the operation was(173.3±31.2) mL, healing time of fracture was (14.8±2.7)weeks, compared two groups, the difference was statistically significant (P<0.05 or P<0.01). There was significant difference in complications between two groups(P<0.05). Conclusion PFNA and DHS are both effective ways in treatment of senile femoral intertrochanteric. PFNA in treatment of senile in-tertrochanteric fractures with less bleeding, short operation time, less complications, especially, the therapeutic effect is superior than that of DHS internal fixation.
