Curative effect observation of PFNA combined with salmon calcitonin on unstable intertrochanteric fractures in elderly
10.11659/jjssx.10E015157
- VernacularTitle:高龄患者防旋近段股骨髓内钉固定术后使用降钙素的疗效观察
- Author:
Jing ZOU
;
Dongyong HUANG
;
Yuanyuan HUANG
;
Min CHEN
;
Shiguang HUANG
;
Youluo WANG
- Publication Type:Journal Article
- Keywords:
proximal femoral nail anti-rotation;
salmon calcitonin;
unstable intertrochanteric fractures
- From:
Journal of Regional Anatomy and Operative Surgery
2016;25(6):424-427
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of proximal femoral nail anti-rotation(PFNA)combined with salmon calcitonin for the treatment of unstable intertrochanteric fractures in the elderly.Methods A total of 90 elderly patients with unstable intertrochanteric frac-tures were randomly divided into group A,group B and group C(30 cases in each group).Patients in group A received open reduction with DHS,patients in group B got closed reduction with PFNA,and patients in group C received operation as group B but combined with salmon calcitonin after the operation.The intraoperative and postoperative stuation of three groups were compared.Results The intraoperative and postoperative stuation of group B was better than those of group A,the time of weight-bearing exercise and fracture healing in group C was shorter than those of group B(t =4.42;t =5.0,P <0.05).The group B had a less complication than group A(χ2 =7.03,P <0.05).Con-clusion The PFNA has a good restoration effect with shorter operative time,less bleeding and lower complication rate.And combined with the salmon calcitonin,which can shorten the time of recovery.
