股骨转子间骨折不同治疗方法的临床分析

目的探讨不同内固定方法治疗股骨转子问骨折的临床疗效。方法回顾性分析应用股骨近端髓内钉抗螺旋刀片（PFNA）治疗12例，DHS治疗25例的治疗效果。结果全部患者获得随访，随访时间5～18个月，平均11个月，所有骨折均愈合，平均愈合时间为3个月，髋关节功能按Harris评分评定，DHS组25例，优良21例；PFNA组12例，优良11例。结论PFNA治疗股骨转子间骨折优于DHS，是一种有效的治疗方法。

Clinical analysis of different treatment methods for femoral intertrochanteric fractures

Objective To investigate different surgical treatments for femoral intertrochateric fractures. To evaluate the results of treatment of intertrochateric fractures with PFNA. Methods 37 patients with femoral intertrochateric fracture were retrospectively reviewed,of which 12 patients were treated operatively with PFNA,25 patients were treated operatively with DHS. Therapeutic efficacy were compared and analyzed. Results All the patients were followed up for 5-18 months(an average of 11 months). All fractures healed in a mean of 3 months. According to Harris'standard of hip-joint fuction,the outcome was classified into excellent,good and poor. In 25 patients with DHS,the good clinical results was 21 cases. In 12 patients with PFNA, excellent and good clinical result was 11 cases. Conclusion PFNAintemal fixation was an effective method for treating the femoral intertrochateric fractures and better than that by DHS.