PFNA与MIPPO技术治疗股骨转子间骨折的疗效

目的:比较改良股骨近端加锁髓内钉(PFNA)与微创经皮锁定钢板接骨术(MIPPO)治疗股骨转子间骨折的临床疗效。方法:对采用PFNA与MIPPO治疗的65例股骨转子间骨折患者的临床资料进行分析,比较2组患者围手术期指标、骨折临床愈合时间、术后髋关节功能恢复程度、术后并发症等。结果:2组患者均获得随访,时间为8~25个月,2组患者在骨折愈合时间、术后髋关节功能恢复程度上差异无统计学意义(P0.05);PFNA组患者在手术时间、切口长度、术中出血量、住院时间、术后卧床时间方面均小于MIPPO组(P0.01)。结论:2种内固定方法临床疗效相当,PFNA创伤更小,出血更少,术后卧床时间更短。

The curative effect comparion of proximal femoral intramedullary nails and minimally invasive percutaneous plate osteosynthesis in the treatment of intertrochanteric fracture

Objective： To compare the clinical effects of proximal femoral intramedullary nails （PFNA） and minimally invasive percutaneous plate osteosynthesis （MIPPO） in the treatment of intertrochanteric fracture. Methods： Sixty-five cases with intertrochanteric fracture were treated with PFNA （ group PFNA） and MIPPO （ group MIPPO）. The clinical data of operation period index, clinical healing time of fracture, the recovery degree of postoperative hip joint function and postoperative complications of two groups were retrospectively analysed. Results： All patients were followed up for 8 to 25 months. There were not statistical significance in the time of fracture healing and recovery degree of postoperative hip joint function between two groups（ P 〉 0.05 ）. The time of operation and lying in bed, incision length,intraoperative blood loss and hospitalization days of PFNA group were less than those of MIPPO group （P 〈0.01 ）. Conclusions： The clinical effects of two kinds of fixed means are similar. PFNA is smaller trauma, less bleeding and shorter time in bed.