|本期目录/Table of Contents|

[1]刘小雷,王炎,田纪伟,等.人工股骨头置换术与股骨近端防旋髓内钉内固定治疗高龄不稳定性 股骨转子间骨折的临床效果比较[J].国际骨科学杂志,2020,05:312-317.
　LIU Xiaolei,WANG Yan,TIAN Jiwei,et al.Comparison of the clinical efficacy of artificial femoral head replacement and proximal femoral nail antirotation in the treatment of unstable intertrochanteric fractures of the femur in patients aged over 80 years old[J].International Journal of Orthopaedics,2020,05:312-317.
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人工股骨头置换术与股骨近端防旋髓内钉内固定治疗高龄不稳定性 股骨转子间骨折的临床效果比较(PDF)

《国际骨科学杂志》[ISSN:1673-7083/CN:31-1952/R]

期数:
2020年05期
页码:
312-317
栏目:
临床研究
出版日期:
2020-10-20

文章信息/Info

Title:
Comparison of the clinical efficacy of artificial femoral head replacement and proximal femoral nail antirotation in the treatment of unstable intertrochanteric fractures of the femur in patients aged over 80 years old
作者:
刘小雷; 王炎; 田纪伟; 丁志勇
210048, 南京江北人民医院骨科中心
Author(s):
LIU Xiaolei;  WANG Yan;  TIAN Jiwei;  DING Zhiyong.
Department of Orthopedics, Nanjing Jiangbei People's Hospital, Nanjing 210048, China
关键词:
高龄;  不稳定;  股骨转子间骨折;  股骨近端防旋髓内钉;  人工股骨头置换
Keywords:
Elderly;  Instability;  Intertrochanteric fracture of femur;  Proximal femoral nail antirotation;  Artificial femoral head replacement
分类号:
-
DOI:
10.3969/j.issn.1673-7083.2020.05.013
文献标识码:
A
摘要:
目的 比较人工股骨头置换术与股骨近端防旋髓内钉(PFNA)内固定治疗高龄不稳定性股骨转子间骨折的临床疗效。方法 回顾性分析2016年1月至2018年6月南京江北人民医院骨科中心符合标准的98例高龄(≥80岁)股骨转子间骨折患者的临床资料,根据手术方式分为人工股骨头置换组和PFNA组,比较两组术中出血量、住院费用、完全负重时间、术后髋关节Harris功能评分及术后并发症等。结果 PFNA组术中出血量、住院费用少于人工股骨头置换组,而完全负重时间长于人工股骨头置换组,差异有统计学意义(P<0.05); 人工股骨头置换组术后1、3、6、12个月 髋关节Harris评分优于PFNA组,差异有统计学意义(P<0.05); 两组围手术期并发症发生率差异无统计学意义(P>0.05),但PFNA组并发症发生率高于人工股骨头置换组。结论 人工股骨头置换术和PFNA内固定治疗高龄不稳定性股骨转子间骨折均具有较好疗效,但对于存在严重骨质疏松、合并多种内科疾病、术前评估可耐受且期望值较高的患者,人工股骨头置换术后可进行早期下床康复锻炼,降低术后并发症发生率,显著改善髋关节功能。
Abstract:
Objective To compare the efficacy of artificial femoral head replacement and proximal femoral nail antirotation(PFNA)for treatment of unstable intertrochanteric fractures of the femur in patients aged over 80 years old.Methods A retrospective study was co

参考文献/References

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备注/Memo

备注/Memo:
通信作者: 丁志勇 E-mail: dzyong7622@163.com
更新日期/Last Update: 2020-10-20