Efficacy observation of PFNA in treatment of femoral intertrochanteric fracture
- VernacularTitle:PFNA治疗股骨粗隆间骨折的疗效观察
- Author:
Shizhu WANG
1
;
Rongmei ZHANG
Author Information
1. 青岛大学医学院
- Keywords:
Femoral intertrochanteric fracture;
PFNA;
DHS
- From:
China Modern Doctor
2015;(22):60-62
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze and discuss the efficacy of proximal femoral nail antirotation (PFNA) in the treatment of femoral intertrochanteric fractures. Methods A total of 144 patients with femoral intertrochanteric fractures treated in our hospital from January 2013 to August 2014 were randomly divided into the control group and the observation group, with 72 patients in each group. The control group was given dynamic hip screw (DHS) internal fixation and the obser-vation group was given PFNA internal fixation. The surgical indicators, treatment effects and incidences of postoperative complications of the two groups were compared. Results The observation group was significantly shorter than the control group in the surgical time, length of hospital stay, weight bearing time and fracture healing time, and was significantly less than the control group in the intraoperative bleeding amount, with statistically significant differences (P<0.05). The postoperative hip joint Harris score of the observation group was (90.8±6.2) points and that of the control group was (81.5±7.2) points; the observation group was significantly higher than the control group in the hip joint Harris score, with statistically significant difference(P<0.05). The treatment effective rate of the observation group was 97.22% and that of the control group was 76.39%;the observation group was significantly higher than the control group in the treat-ment effective rate, with statistically significant difference(P<0.05). The incidence of complications of the observation group was 4.17%and that of the control group was 13.89%;the observation group was significantly lower than the con-trol group in the incidence of complications, with statistically significant difference(P<0.05). Conclusion In the treat-ment of patients with femoral intertrochanteric fractures, the application of PFNA internal fixation has the advantages of small trauma, ideal effects and high safety, which is worthy of clinical promotion and application.