股骨近端防旋髓内钉与股骨近端解剖型锁定钢板治疗老年不稳定型股骨转子间骨折的效果比较

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Abstract Objective To compare the effect of proximal femoral nail anti-rotation (PFNA) and proximal femoral anatomic locking plate in the treatment of intertrochanteric fracture in the elderly. Methods From March 2012 to March 2016, 94 elderly patients with unstable type femur fractures for treatment in Baoji Hospital of Traditional Chinese Medicine were selected and divided into two groups by random number table, with 47 cases in each group. The patients in group A were treated with proximal femoral anatomic lock plate, and the patients in group B were treated with bone proximal nailing. The operation situation in the two groups were compared. After 12 months after operation, the occurrence of complications, hip joint function and fracture healing in the two groups were compared. Results The operation was completed without death. The incision length, operative time, intraoperative blood loss, intraoperative blood volume, postoperative hospitalization days and the load time in group B were lower than those in group A, with statistically significant difference (P < 0.05). The X-ray showed that the group A healed slowly after surgery and the plate was more easily broken, while the group B was well healed, and there was no displacement of the lateral fracture. The postoperative complication of group B was lower than that in the group A, and the overall optimal rate of clinical effect in the group B was better than that in the group A (P < 0.05). Conclusion PFNA treatment for the elderly with intertrochanteric fracture has the advantages of quick recovery, simple operation, strong stability and few complications, which is worthy of clinical application.

Key words： Proximal femoral nail anti-rotation Proximal femoral anatomic locking plate Intertrochanteric fracture The elderly

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	XIE Xiaomin1 CHEN Yufei2 ZHOU Xiaoqing1 JIA Bin1 GOU Bo1▲

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XIE Xiaomin1 CHEN Yufei2 ZHOU Xiaoqing1 JIA Bin1 GOU Bo1▲. Comparison of effect of proximal femoral nail anti-rotation and proximal femoral anatomic locking plate in the treatment of intertrochanteric fracture in the elderly[J]. 中国医药导报, 2017, 14(21): 90-93.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2017/V14/I21/90

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